Читать книгу Emergency Medical Services - Группа авторов - Страница 105

The main elements of prehospital RSI include:

 Insertion of an intravenous line.

 Attachment of continuous monitors (electrocardiogram, blood pressure, and pulse oximetry).

 Preoxygenation of the patient (nonrebreather mask or BVM ventilation).

 Rapid administration of pretreatment, sedative/induction, and neuromuscular blocking agents.

 Performance of laryngoscopy and tube placement.

 Verification of tube placement and securing of the endotracheal tube.

Pretreatment agents may be administered prior to attempting RSI, for example, intravenous lidocaine to attenuate the intracerebral pressure response to laryngoscopy. Because there are only limited data supporting the effectiveness of pretreatment regimens, protocols often exclude the use of these agents during prehospital RSI.