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Related Concept Videos

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
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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.
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Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned under...
Tracheostomy Care I: Pre-procedural Steps01:16

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A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
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Tracheostomy Suctioning I: Pre-Procedural Steps

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Providing safe passage: rapid sequence intubation for advanced practice nursing.

Carrie Bowman Dalley1, Denise H Tola, Karen S Kesten

  • 1Nurse Anesthesia Program, Georgetown University School of Nursing and Health Studies, Washington, DC 20057, USA. ccb23@georgetown.edu

AACN Advanced Critical Care
|July 26, 2012
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Summary

Rapid sequence intubation (RSI) is a critical procedure for nurses to secure airways and prevent aspiration in unstable patients. This guide offers evidence-based strategies for safe and effective RSI in acute care settings.

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Area of Science:

  • Emergency Medicine
  • Nursing Practice
  • Critical Care

Background:

  • Rapid sequence intubation (RSI) is vital for patients needing endotracheal intubation with aspiration risk.
  • Indications include airway compromise and inadequate oxygenation/ventilation in critically ill or injured patients.

Purpose of the Study:

  • To equip advanced practice nurses with current scientific knowledge for safe and effective clinical decision-making during RSI.
  • To address modifications of standard RSI for unstable, critically ill patients.

Main Methods:

  • Review of standard RSI practices for stable patients.
  • Discussion of individualized modifications for unstable patients.
  • Highlighting factors for difficult airway management, equipment, and patient preparation.

Main Results:

  • Emphasis on the need for tailored RSI approaches in critically ill patients.
  • Identification of key elements for successful RSI, including pharmacology and complication prevention.

Conclusions:

  • Advanced practice nurses require updated scientific information to optimize RSI.
  • Safe and effective RSI in acute care necessitates understanding patient-specific factors and potential complications.