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RSI describes a sequential process of preparation, sedation, and paralysis to facilitate safe, emergency tracheal intubation. Pharmacologic sedation and paralysis are induced in rapid succession to perform laryngoscopy and tracheal intubation with the goal of preventing aspiration.
3 Intubate - Position self at patients head, hold scope in left hand, open mouth with fingers (not blade), insert blade into right side of mouth, move blade to center of mouth pushing tongue to the left side, slowly advance blade and lift epiglottis till larynx is visualized.
Conclusion: Administration of either the neuromuscular blocking or the sedative agent first are both acceptable. Administering the neuromuscular blocking agent first may result in modestly faster time to intubation.
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