Contributor: Meghan Hurley, MD
Educational Pearls:
Two main reasons to choose non-traditional RSI
Anatomically challenging airway
Physiologically difficult patients: hypoxia, metabolic acidosis, hemodynamic instability
Ketamine may help patients remain hemodynamically stable
In critical patients, it is important to consider non-traditional RSI medications to improve outcomes
References
1. Lyon RM, Perkins ZB, Chatterjee D, Lockey DJ, Russell MQ. Significant modification of traditional rapid sequence induction improves safety and effectiveness of pre-hospital trauma anaesthesia. Crit Care. 2015;19(1). doi:10.1186/s13054-015-0872-2
2. Merelman AH, Perlmutter MC, Strayer RJ. Alternatives to rapid sequence intubation: Contemporary airway management with ketamine. West J Emerg Med. 2019;20(3):466-471. doi:10.5811/westjem.2019.4.42753
Summarized by Jorge Chalit, OMS1 | Edited by Meg Joyce