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Rapid sequence induction : an international survey

Rapid sequence induction : an international survey

Authors :
Martina Kosinová
Jozef Klučka
Milan Kratochvíl
Petr Štourač
Michaela Toukalkova
Hana Zelinková
Roman Štoudek
Kai Zacharowski
Stefan De Hert
Source :
EUROPEAN JOURNAL OF ANAESTHESIOLOGY, European Journal of Anaesthesiology
Publication Year :
2020

Abstract

BACKGROUND Rapid sequence induction (RSI) is a standard procedure, which should be implemented in all patients with a risk of aspiration/regurgitation during anaesthesia induction. OBJECTIVE The primary aim was to evaluate clinical practice in RSI, both in adult and paediatric populations. DESIGN Online survey. SETTINGS A total of 56 countries. PARTICIPANTS Members of the European Society of Anaesthesiology. MAIN OUTCOME MEASURES The aim was to identify and describe the actual clinical practice of RSI related to general anaesthesia. RESULTS From the 1921 respondents, 76.5% (n=1469) were qualified anaesthesiologists. When anaesthetising adults, the majority (61.7%, n=1081) of the respondents preoxygenated patients with 100% O2 for 3 min and 65.9% (n=1155) administered opioids during RSI. The Sellick manoeuvre was used by 38.5% (n=675) and was not used by 37.4% (n=656) of respondents. First-line medications for a haemodynamically stable adult patient were propofol (90.6%, n=1571) and suxamethonium (56.0%, n=932). Manual ventilation (inspiratory pressure

Details

Language :
English
ISSN :
03694860, 02650215, and 13652346
Database :
OpenAIRE
Journal :
EUROPEAN JOURNAL OF ANAESTHESIOLOGY, European Journal of Anaesthesiology
Accession number :
edsair.doi.dedup.....f6e8c03002d514c135407730beea1cac