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

Journal Article (Journal Article)

Rapid sequence intubation (RSI) is a lifesaving technique performed by advanced practice nurses when patients require endotracheal intubation but are at risk for gastric aspiration. In the acute care setting, the procedure often is indicated when critically ill or injured patients exhibit difficulty maintaining a patent airway and/or are displaying inadequate oxygenation and ventilation. The goal of this article is to provide advanced practice nurses with information that promotes safe and effective clinical decision making during RSI on the basis of the current state of the science. Standard RSI practices in stable patients are reviewed, and the need for individualized modifications of this "ideal" practice in unstable, critically ill patients is addressed. Factors predisposing a patient to difficult airway management, proper equipment, and patient preparation are highlighted, along with the relevant pharmacology. Finally, prevention of potential complications during RSI in the acute care setting is discussed.

Full Text

Duke Authors

Cited Authors

  • Dalley, CB; Tola, DH; Kesten, KS

Published Date

  • July 2012

Published In

Volume / Issue

  • 23 / 3

Start / End Page

  • 270 - 283

PubMed ID

  • 22828060

Electronic International Standard Serial Number (EISSN)

  • 1559-7776

International Standard Serial Number (ISSN)

  • 1559-7768

Digital Object Identifier (DOI)

  • 10.1097/nci.0b013e31825dfea6

Language

  • eng