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Flashcards in RSI Deck (29)
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1

How many steps

7

2

If you oxygenate a healthy individual for 5 mins @ 100% O2 ...

they can be apenic for 7 minutes without permanent brain damage

3

Ideally you wouldn't bag b4 intubation due to ...

Baging - abdominal distention = higher risk for aspiration

4

Sedative/Analgesic take about how many minutes to work

3 minutes

5

Sedative for intubation

Midazolam (Versed)
0.1 to 0.3 mg/kg IV

6

Analgesic for intubation

Fetanyl
2-3 mcg/kg IV

7

Protective Agents (4) prior to intubation

1. Lidocaine
2. Opioids
3. Atropine
4. Defascicultaing Agent

8

What does lidocaine do as a protective agent + dose

1.5 mg/kg

Suppresses gag/cough from laryngoscope blade during intubation

Reduce sudden ICP with the blade

9

What do opioids do as a protective agent + dose

Fetanyl 1-3 mcg/kg

Dec sympathetic surge and bradycardia from laryngoscope stimulation

10

What does atropine do as a protective agent + dose

0.01 - 0.02 mg/kg (ped)
0.5 - 0.1 mg (adult)

Dec parasympathetic surge and bradycardia from laryngoscope stimulation - pulling back on the vagal stimulation

11

Succ can cause

a shuttering of the muscles (fasciculations) around 40 seconds after it is given - making intubation difficult

12

Examples of defasciculating agents

Vancuronium (norcuron)

13

Defasciculating Agent dose + protective gaent

1/10th of loading dose of neuromuscular blocker

Prevents fasciculations from Succ

14

4 Anesthesisa for RSI

1. Etomidate
2. Ketamine
3. Thiopental
4. Propofol

15

Etomidate dose and precaution

0.2 - 0.4 mg/kg

May cause myoclonic activity

16

Ketamine dose and precaution

1 - 2 mg/kg

Be careful w/ asthma
May cause hypotension
May cause laryngospasm

17

Thiopental dose and preaution

2mg/kg

Contraidicated w/
Burns
Hyperkalemia
Neuromusuclar disorders
Eye Injuries

18

Propofol dose and precaution

0.5 - 2 mg/kg

Contraindicated w/ egg allergies

19

7 Ps

1. Prep
2. Pre-oxygenate
3. Pre-tx (Sedate)
4. Paralysis (short acting neuromuscular agent)
5. Placement
6. Placement verification
7. Post-Intubation

20

Adults ET tubing size is usually

6.5 to 8.0

21

Pediatric ET tube equation

Uncuffed: (Age/4) + 4
Cuffed: (Age/4) + 3
UP TO 12

22

Easy as 1-2-3-4

ETT X 1 = ETT Size
ETT X 2 = NG/OG or Folely
ETT x 3 = ETT insertion depth
ETT x 4 = Chest tube

23

4 Paralytic Medications

1. Succ
2. Pancuronium
3. Rocuronium
4. Vecuronium

24

Continuous capnography

Rounded waveform
Top between 35-45

25

Kussmaul's Sign

Elevation of JVD during inspiration

26

Succinylcholine

1 -2 mg/kg

Contraindicated in head/eye injuries / cardiovascular disease

27

Pancuronium

0.01 mg/kg (defasciculating dose)

28

Rocuronium

0.6 - 1 mg/kg
Contraindicated in head/eye injuries/ cardiovascular disease

29

Vecuronium

0.01 mg/kg (defasciculating dose)
0.1 mg (paralyzing dose)