Place of rapid sequence induction in paediatric anaesthesia

Newton, Richard; Hack, Henrik

doi:10.1093/bjaceaccp/mkv024

Cited by 23 publications

(16 citation statements)

References 16 publications

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“…Furthermore, controlled RSII tracheal intubation conditions, as represented by the modified Cormack & Lehane classification views obtained by direct laryngoscopy, were significantly better. Both findings, lower incidence of hypoxaemia and better direct laryngoscopic views, using controlled compared to classical RSII have been previously reported for the paediatric population . They are most likely explained by the greater apnoea tolerance due to gentle intermittent bag‐mask oxygenation, providing better conditions for tracheal intubation with reduced stress levels for the intubating person …”

Section: Discussionsupporting

confidence: 67%

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Classical versus controlled rapid sequence induction and intubation in children with bleeding tonsils (a retrospective audit)

Kemper

Buehler

Schmitz

et al. 2019

Acta Anaesthesiol Scand

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Anaesthesia for children with surgical revision of bleeding tonsils is one of the most challenging situations in paediatric anaesthesia. In these situations, a classical rapid sequence induction using muscle paralysis with succinylcholine, cricoid pressure and apnoea until the airway has been secured by a tracheal tube is the most common approach. 2 There has so far been only one published retrospective study reporting on 575 anaesthetic managements in children scheduled for surgical revision of bleeding tonsils. 3 The most common adverse event in that study was hypoxaemia, with 9.9% in total and a 3% incidence during rapid sequence induction and intubation (RSII); difficult intubation was the next most common, occurring in 2.7% of patients. The latter

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Section: Discussionsupporting

confidence: 67%

“…A so‐called controlled RSII using gentle bag‐mask ventilation between induction and tracheal intubation allows avoidance of hypoxaemia in children, particularly in the smaller ones . Since 2007, controlled RSII has been used in our institution as a standard procedure for patients with a full stomach .…”

Section: Introductionmentioning

confidence: 99%

Classical versus controlled rapid sequence induction and intubation in children with bleeding tonsils (a retrospective audit)

Kemper

Buehler

Schmitz

et al. 2019

Acta Anaesthesiol Scand

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“…In children, controlled RSI without the use of cricoid pressure offers a safer alternative to the classic RSI. [41] The controlled RSI sequence involves preoxygenation, titrated administration of the induction agent followed by muscle relaxant, usually atracurium. Any muscle relaxant can be used, but it is recommended to confirm optimal muscle relaxation using neuromuscular monitoring.…”

Section: Induction In Children At Risk Of Pulmonary Aspirationmentioning

confidence: 99%

Premedication and induction of anaesthesia in paediatric patients

Dave

2019

Indian J Anaesth

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Perioperative anxiety has been associated with adverse clinical outcomes such as emergence delirium, increased analgesic requirements and negative postoperative behavioural changes such as sleep disturbance, separation anxiety, eating problems and new-onset enuresis. Predictors of preoperative anxiety have been identified, and these include, among other factors, the age and temperament of the child. Any plan for anaesthetic induction in a child must take into account these factors. The anaesthetic plan must be individualised for special situations, for example, the child with behavioural disorder or at risk of aspiration. This article details the pharmacological and nonpharmacological methods to minimise preoperative anxiety and the techniques of anaesthetic induction in infants and children undergoing surgery. The benefits and limitations of inhalational and intravenous induction and the current status of rapid sequence induction in children are discussed. MEDLINE database was searched for this narrative review using the keywords including preoperative anxiety, child, premedication, paediatric and anaesthetic induction. Search was restricted to articles in English, but without any publication date restrictions.

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“…1 Ketamine increases IOP and is avoided, unless haemodynamic instability is a particular concern. 17,18 Controlled ventilation to maintain normocapnia (4.5e5.0 kPa) and a smooth emergence minimises further increases in IOP. It is important not to cause additional external pressure on the injured eye from the anaesthetic facemask.…”

Section: Traumatic Eye Injuriesmentioning

confidence: 99%