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Related Concept Videos

Endotracheal Intubation I: Procedure01:15

Endotracheal Intubation I: Procedure

Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway interventions are...
Endotracheal Intubation II: Nursing Management01:17

Endotracheal Intubation II: Nursing Management

Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals.
Inhalational Anesthetics: Overview01:20

Inhalational Anesthetics: Overview

Inhalation anesthetics are drugs that induce general anesthesia upon inhalation. They work by increasing the sensitivity of GABAA receptors or inhibiting NMDA receptors, leading to a decrease in central nervous system activity. The depth of anesthesia can be rapidly adjusted by changing the concentration of the inhaled gas. Some common examples of inhalational anesthetics include volatile liquids like isoflurane, desflurane, sevoflurane and gases like xenon and nitrous oxide. Isoflurane, a...

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Related Experiment Video

Updated: Jun 15, 2026

An Improved Method for Rapid Intubation of the Trachea in Mice
08:46

An Improved Method for Rapid Intubation of the Trachea in Mice

Published on: February 22, 2016

Rapid sequence induction and intubation: current controversy.

Mohammad El-Orbany1, Lois A Connolly

  • 1Department of Anesthesiology-West, Froedtert Memorial Lutheran Hospital, Medical College of Wisconsin, Milwaukee, WI 53226, USA. elorbany@mcw.edu

Anesthesia and Analgesia
|March 19, 2010
PubMed
Summary
This summary is machine-generated.

Standardizing rapid sequence induction and intubation (RSII) is challenging due to ongoing debates on induction drugs, neuromuscular blocking drugs (NMBDs), and cricoid pressure, leading to varied clinical practices.

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Area of Science:

  • Anesthesiology
  • Critical Care Medicine

Background:

  • Rapid sequence induction and intubation (RSII) practices vary widely due to evolving opinions on traditional components.
  • Lack of a standardized protocol hinders consistent patient care during emergency airway management.

Purpose of the Study:

  • To review and discuss controversial aspects of RSII.
  • To identify areas needing further research for establishing a standard RSII protocol.

Main Methods:

  • Review of current literature and clinical practices regarding RSII components.
  • Analysis of controversies surrounding induction agents, neuromuscular blocking drugs (NMBDs), ventilation, and cricoid pressure.

Main Results:

  • Significant debate exists regarding induction drug choice, dosage, administration, and NMBD timing.
  • Controversies persist on optimal succinylcholine dosage, defasciculation, and priming techniques.
  • Practices concerning pre-intubation ventilation and cricoid pressure application show considerable variation.

Conclusions:

  • Resolving controversies in RSII components is crucial for developing a standardized protocol.
  • Further research is needed to address variations in drug administration, ventilation strategies, and patient positioning.