Author/Editor		Kupnik, Dejan; Golub, Mirjam
Title		Hitra sekvenčna intubacija v predbolnišničnem okolju - prikaz primerov bolnikov
Translated title		Rapid sequence intubation in the prehospital setting - case reports
Type		članek
Source		In: Bručan A, Gričar M, Vajd R, editors. Urgentna medicina: izbrana poglavja. Zbornik 11. mednarodni simpozij o urgentni medicini; 2004 jun 9-12; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year		2004
Volume		str. 258-62
Language		slo
Abstract		The basic step in the process of management of criticaly ill patient is to open and secure the airway. Endotracheal intubation is the safest and most reliable method of prevention against aspiration especialy in the prehospital setting where patients are not fasting prior intubation. Rapid sequence intubation (RSI) is the method of endotracheal intubation where we use anaesthetic agents and muscular relaxants in the process of intubation. It is based on the fact that patients do not fast before intubation, they can bleed massively in the upper airway and/or upper digestive system, and the use of self-inflating baloon after the aplication of inducting agent and muscular relaxant would just increase the possibility of regurgitation and aspiration. So in RSI we avoid ventilating the patient with self-inflating baloon after the aplication of anaesthetic agent and muscular relaxant. We use Sellick's manoeuvre to prevent regurgitation and aspiration after the aplication of drugs, and intubate the patient. In the following paper we present the case of three patients who were intubated after protocol of RSI in the prehospital setting.
Descriptors		EMERGENCY MEDICAL SERVICES INTUBATION, INTRATRACHEAL ATROPINE ETOMIDATE KETAMINE MIDAZOLAM SUCCINYLCHOLINE