Rapid Sequence Induction and Intubation: A Narrative Review

ABSTRACT: Despite technological advancements and the development of non-technical skills, preventable deaths due to failures in advanced airway management remain an issue in the care of unstable patients. One of the strategies described to enhance first-attempt intubation success rates and potential...

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Autores:
Martínez Hurtado, Valeria
Aristizábal Hincapié, Mateo
Zamudio Burbano, Mario Andrés
Tipo de recurso:
Review article
Fecha de publicación:
2023
Institución:
Universidad de Antioquia
Repositorio:
Repositorio UdeA
Idioma:
eng
OAI Identifier:
oai:bibliotecadigital.udea.edu.co:10495/39274
Acceso en línea:
https://hdl.handle.net/10495/39274
https://revistas.udea.edu.co/index.php/iatreia/article/view/350117
Palabra clave:
Airway Management
Manejo de la Vía Aérea
Emergency Medicine
Medicina de Emergencia
Intubation, Intratracheal
Intubación Intratraqueal
Rapid Sequence Induction and Intubation
Intubación e Inducción de Secuencia Rápida
https://id.nlm.nih.gov/mesh/D058109
https://id.nlm.nih.gov/mesh/D004635
https://id.nlm.nih.gov/mesh/D007442
https://id.nlm.nih.gov/mesh/D000079603
Rights
openAccess
License
https://creativecommons.org/licenses/by-nc-sa/4.0/
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dc.title.spa.fl_str_mv Rapid Sequence Induction and Intubation: A Narrative Review
dc.title.translated.spa.fl_str_mv Secuencia rápida de inducción e intubación: una revisión narrativa
title Rapid Sequence Induction and Intubation: A Narrative Review
spellingShingle Rapid Sequence Induction and Intubation: A Narrative Review
Airway Management
Manejo de la Vía Aérea
Emergency Medicine
Medicina de Emergencia
Intubation, Intratracheal
Intubación Intratraqueal
Rapid Sequence Induction and Intubation
Intubación e Inducción de Secuencia Rápida
https://id.nlm.nih.gov/mesh/D058109
https://id.nlm.nih.gov/mesh/D004635
https://id.nlm.nih.gov/mesh/D007442
https://id.nlm.nih.gov/mesh/D000079603
title_short Rapid Sequence Induction and Intubation: A Narrative Review
title_full Rapid Sequence Induction and Intubation: A Narrative Review
title_fullStr Rapid Sequence Induction and Intubation: A Narrative Review
title_full_unstemmed Rapid Sequence Induction and Intubation: A Narrative Review
title_sort Rapid Sequence Induction and Intubation: A Narrative Review
dc.creator.fl_str_mv Martínez Hurtado, Valeria
Aristizábal Hincapié, Mateo
Zamudio Burbano, Mario Andrés
dc.contributor.author.none.fl_str_mv Martínez Hurtado, Valeria
Aristizábal Hincapié, Mateo
Zamudio Burbano, Mario Andrés
dc.contributor.researchgroup.spa.fl_str_mv Grupo de Investigación en Medicina Perioperatoria (GRIMPA)
dc.subject.decs.none.fl_str_mv Airway Management
Manejo de la Vía Aérea
Emergency Medicine
Medicina de Emergencia
Intubation, Intratracheal
Intubación Intratraqueal
Rapid Sequence Induction and Intubation
Intubación e Inducción de Secuencia Rápida
topic Airway Management
Manejo de la Vía Aérea
Emergency Medicine
Medicina de Emergencia
Intubation, Intratracheal
Intubación Intratraqueal
Rapid Sequence Induction and Intubation
Intubación e Inducción de Secuencia Rápida
https://id.nlm.nih.gov/mesh/D058109
https://id.nlm.nih.gov/mesh/D004635
https://id.nlm.nih.gov/mesh/D007442
https://id.nlm.nih.gov/mesh/D000079603
dc.subject.meshuri.none.fl_str_mv https://id.nlm.nih.gov/mesh/D058109
https://id.nlm.nih.gov/mesh/D004635
https://id.nlm.nih.gov/mesh/D007442
https://id.nlm.nih.gov/mesh/D000079603
description ABSTRACT: Despite technological advancements and the development of non-technical skills, preventable deaths due to failures in advanced airway management remain an issue in the care of unstable patients. One of the strategies described to enhance first-attempt intubation success rates and potentially reduce complications is rapid sequence induction and intubation, a complex intervention requiring healthcare personnel preparedness. Since its original description, there have been deeper insights, new interventions, and modifications, warranting a synthesis of this evidence. This article presents a narrative review on the topic based on a non-systematic search, resulting in an approach to the most representative actions and interventions according to the authors’ judgment. It emphasizes airway assessment, critical team preparation, appropriate positioning based on population type, preoxygenation strategies, underlying cause pre-stabilization, summary of induction and neuromuscular blocking agents, alternative intubation strategies like videolaryngoscopy, and post-intubation care including the dual vector fixation strategy and initial ventilation parameters.
publishDate 2023
dc.date.issued.none.fl_str_mv 2023
dc.date.accessioned.none.fl_str_mv 2024-05-13T23:36:03Z
dc.date.available.none.fl_str_mv 2024-05-13T23:36:03Z
dc.type.spa.fl_str_mv Artículo de revisión
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dc.identifier.citation.spa.fl_str_mv Martínez-Hurtado V, Zamudip-Burbano MA, Aristizábal-Hincapie M. Rapid Sequence Induction and Intubation: A Narrative Review. Iatreia [Internet]. 2023 Oct-Dic;36(4):507-524.https://doi.org/10.17533/udea.iatreia.206
dc.identifier.issn.none.fl_str_mv 0121-0793
dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/10495/39274
dc.identifier.doi.none.fl_str_mv 10.17533/udea.iatreia.206
dc.identifier.eissn.none.fl_str_mv 2011-7965
dc.identifier.url.spa.fl_str_mv https://revistas.udea.edu.co/index.php/iatreia/article/view/350117
identifier_str_mv Martínez-Hurtado V, Zamudip-Burbano MA, Aristizábal-Hincapie M. Rapid Sequence Induction and Intubation: A Narrative Review. Iatreia [Internet]. 2023 Oct-Dic;36(4):507-524.https://doi.org/10.17533/udea.iatreia.206
0121-0793
10.17533/udea.iatreia.206
2011-7965
url https://hdl.handle.net/10495/39274
https://revistas.udea.edu.co/index.php/iatreia/article/view/350117
dc.language.iso.spa.fl_str_mv eng
language eng
dc.relation.ispartofjournalabbrev.spa.fl_str_mv Iatreia
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dc.relation.ispartofjournal.spa.fl_str_mv Iatreia
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dc.publisher.spa.fl_str_mv Universidad de Antioquia, Facultad de Medicina
dc.publisher.place.spa.fl_str_mv Medellín, Colombia
institution Universidad de Antioquia
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spelling Martínez Hurtado, ValeriaAristizábal Hincapié, MateoZamudio Burbano, Mario AndrésGrupo de Investigación en Medicina Perioperatoria (GRIMPA)2024-05-13T23:36:03Z2024-05-13T23:36:03Z2023Martínez-Hurtado V, Zamudip-Burbano MA, Aristizábal-Hincapie M. Rapid Sequence Induction and Intubation: A Narrative Review. Iatreia [Internet]. 2023 Oct-Dic;36(4):507-524.https://doi.org/10.17533/udea.iatreia.2060121-0793https://hdl.handle.net/10495/3927410.17533/udea.iatreia.2062011-7965https://revistas.udea.edu.co/index.php/iatreia/article/view/350117ABSTRACT: Despite technological advancements and the development of non-technical skills, preventable deaths due to failures in advanced airway management remain an issue in the care of unstable patients. One of the strategies described to enhance first-attempt intubation success rates and potentially reduce complications is rapid sequence induction and intubation, a complex intervention requiring healthcare personnel preparedness. Since its original description, there have been deeper insights, new interventions, and modifications, warranting a synthesis of this evidence. This article presents a narrative review on the topic based on a non-systematic search, resulting in an approach to the most representative actions and interventions according to the authors’ judgment. It emphasizes airway assessment, critical team preparation, appropriate positioning based on population type, preoxygenation strategies, underlying cause pre-stabilization, summary of induction and neuromuscular blocking agents, alternative intubation strategies like videolaryngoscopy, and post-intubation care including the dual vector fixation strategy and initial ventilation parameters.RESUMEN:A pesar de los avances tecnológicos y el desarrollo de habilidades no técnicas, las muertes prevenibles por fallas en el manejo avanzado de la vía aérea aún son un problema en la atención del paciente inestable. Una de las estrategias descritas para mejorar el porcentaje de éxito de la intubación al primer intento, y posiblemente disminuir complicaciones, es la secuencia rápida de inducción e intubación, una intervención compleja que requiere preparación del personal de salud. Desde su descripción original han existido profundizaciones, nuevas intervenciones y cambios, por lo que existe la necesidad de hacer una síntesis de estas evidencias. En este artículo se presenta una revisión narrativa sobre el tema basada en una búsqueda no sistemática, la cual resultó en una aproximación a las acciones e intervenciones más representativas a criterio de los autores, resaltando la valoración de la vía aérea, la preparación de los equipos críticos, el adecuado posicionamiento según el tipo de población, las estrategias de preoxigenación, la preestabilización de la causa subyacente, el resumen de los medicamentos inductores y relajantes neuromusculares, las estrategias alternas de intubación, como la videolaringoscopia, y los cuidados posintubación, que incluyen la estrategia de fijación de doble vector y parámetros iniciales de ventilación.COL009431418 páginasapplication/pdfengUniversidad de Antioquia, Facultad de MedicinaMedellín, Colombiahttps://creativecommons.org/licenses/by-nc-sa/4.0/http://creativecommons.org/licenses/by-nc-sa/2.5/co/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Rapid Sequence Induction and Intubation: A Narrative ReviewSecuencia rápida de inducción e intubación: una revisión narrativaArtículo de revisiónhttp://purl.org/coar/resource_type/c_dcae04bchttp://purl.org/coar/resource_type/c_2df8fbb1https://purl.org/redcol/resource_type/ARTREVhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionAirway ManagementManejo de la Vía AéreaEmergency MedicineMedicina de EmergenciaIntubation, IntratrachealIntubación IntratraquealRapid Sequence Induction and IntubationIntubación e Inducción de Secuencia Rápidahttps://id.nlm.nih.gov/mesh/D058109https://id.nlm.nih.gov/mesh/D004635https://id.nlm.nih.gov/mesh/D007442https://id.nlm.nih.gov/mesh/D000079603Iatreia524450736IatreiaPublicationORIGINALHurtadoValeria_2023_RapidSequenceInduction.pdfHurtadoValeria_2023_RapidSequenceInduction.pdfArtículo de revisiónapplication/pdf895215https://bibliotecadigital.udea.edu.co/bitstreams/a7c6083e-6b98-4641-9327-b780c9b0f990/downloadfd3aafc9bbc0ba8ecab78f47d7c84040MD51trueAnonymousREADCC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; 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