Emergency scene endotracheal intubation before and after the introduction of a rapid sequence induction protocol

Falcone, Robert E.; Herron, Holly; Dean, Barb; Werman, Howard A.

doi:10.1016/s1067-991x(96)90024-3

Cited by 44 publications

(13 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Patients undergoing RSI performed by paramedics had increased mortality (33.0% vs 24.2%, P < 0.01) and lower incidence of a favourable outcome (45.5% vs 57.9%, P < 0.01) than controls managed without intubation. A retrospective assessment of the implication of a RSI protocol for air medical personnel by Falcone et al 23 significantly increased transport times without improving intubation success rates. Ochs et al 24 reported only an 84.2% intubation success rate after implementation of paramedic performed RSI.…”

Section: Answering the Primary Question -The Impact Of Rsi In Aspiratmentioning

confidence: 99%

No evidence for decreased incidence of aspiration after rapid sequence induction

Neilipovitz

Crosby

2007

Can J Anesth/J Can Anesth

148

View full text Add to dashboard Cite

Purpose:The purpose of this structured, evidence-based, clinical update was to determine if rapid sequence induction is a safe or effective technique to decrease the risk of aspiration or other complications of airway management. Source:In June 2006 a structured search of MEDLINE from 1966 to present using OVID software was undertaken with the assistance of a reference librarian. Medical subject headings and text words describing rapid sequence induction or intubation (RSI), crash induction or intubation, cricoid pressure and emergency airway intubation were employed. OVID's therapy (sensitivity) algorithm was used to maximize the detection of randomized trials while excluding non-randomized research. The bibliographies of eligible publications were hand-searched to identify trials not identified in the electronic search. Principal findings:A total of 184 clinical trials were identified of which 163 were randomized controlled trials (RCTs). Of these clinical trials, 126 evaluated different drug regimens with 114 being RCTs. Only 21 clinical trials evaluated non-pharmacologic aspects of the RSI with 18 RCTs identified. A parallel search found 52 trials evaluating cricoid pressure (outside of the context of an RSI technique) with 44 classified as RCTs. Definitive outcomes such as prevention of aspiration and mortality benefit could not be evaluated from the trials. Likewise, the impact on adverse outcomes of the different components of RSI could not be ascertained. Conclusion:An absence of evidence from RCTs suggests that the decision to use RSI during management can neither be supported nor discouraged on the basis of quality evidence.

show abstract

Section: Answering the Primary Question -The Impact Of Rsi In Aspiratmentioning

confidence: 99%

No evidence for decreased incidence of aspiration after rapid sequence induction

Neilipovitz

Crosby

2007

Can J Anesth/J Can Anesth

148

View full text Add to dashboard Cite

show abstract

“…There were 955 trauma patients who had OTI without drug-assistance in aeromedical, ground EMS, and trauma center settings. 20,26,30,33,36,40,42,45,73,228 There were 5,692 trauma patients who had OTI with drug-assistance in aeromedical, ground EMS, emergency department, and trauma center settings. 14,17,18,22,26,30, 32,34, 38,44,48,50,64,74,80,88,111,115,144,229 -236 Additional studies describe the details of trauma patients who had emergency OTI where some received drugs assistance (1,967) and others did not (544).…”

Section: Scientific Evidence For Emergency Orotracheal Intubation In mentioning

confidence: 99%

“…14,17,18,22,26,30, 32,34, 38,44,48,50,64,74,80,88,111,115,144,229 -236 Additional studies describe the details of trauma patients who had emergency OTI where some received drugs assistance (1,967) and others did not (544). 14,19,24,26,37,39,40,45,48,49,68,73,75,228,237 In another 2,887 patients who had OTI, some received drug-assistance and others did not. 19,21,23,27,38,42,57,63,78,81,89,109,113,116,118,119,145,198,228,238,239 However, the number of patients receiving drugs was not stated in the publications.…”

Section: Scientific Evidence For Emergency Orotracheal Intubation In mentioning

confidence: 99%

Guidelines for Emergency Tracheal Intubation Immediately after Traumatic Injury

Dunham

Barraco

Clark

et al. 2003

The Journal of Trauma: Injury, Infection, and Critical Care

146

View full text Add to dashboard Cite

“…These aggressive early airway management protocols have resulted in an increase in the percentage of TBI patients who arrive with a secure airway, especially with the use of neuromuscular blocking agents as part of a rapid sequence intubation (RSI) protocol (11)(12)(13)(14)(15)(16)(17)(18)(19). Thus, the association between prehospital intubation and increased mortality is somewhat surprising (5, 7, 20 -22).…”

mentioning

confidence: 99%

Early ventilation and outcome in patients with moderate to severe traumatic brain injury*

Davis

Idris

Sise

et al. 2006

Critical Care Medicine

159

121

View full text Add to dashboard Cite

show abstract

Emergency scene endotracheal intubation before and after the introduction of a rapid sequence induction protocol

Cited by 44 publications

References 10 publications

No evidence for decreased incidence of aspiration after rapid sequence induction

No evidence for decreased incidence of aspiration after rapid sequence induction

Guidelines for Emergency Tracheal Intubation Immediately after Traumatic Injury

Early ventilation and outcome in patients with moderate to severe traumatic brain injury*

Contact Info

Product

Resources

About