What is Rapid Sequence Intubation (RSI)?

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ICU Advantage

ICU Advantage

Күн бұрын

Explaining what RSI is and how it diff! 📝 Free Quiz: COMING SOON
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For intubations we have a special technique that is used in emergent/emergency intubations or whenever someone has risks for aspiration called Rapid Sequence Intubation or RSI. Our goal is to safely intubate them as quickly as possible. This differs from regular intubation by the use of a paralytic, not administering a test breath, and with the use of cricoid pressure.
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0:00 Intro
1:17 What is RSI?
2:56 Paralytic
4:29 Test Breath
6:03 Cricoid Pressure
9:14 Wrap up
#ICUAdvantage #RSI #RapidSequenceIntubation

Пікірлер: 69
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
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@perrinmichael4504
@perrinmichael4504 2 жыл бұрын
BURP and Cricoid pressure are for 2 different reason. Cricoid is used to prevent aspiration if the patient is at risk for regurgitation. BURP is to aid intubation if the vocal cords are more anterior. BURP helps bring the vocal cord to better view during laryngoscopy.
@hyperghoul
@hyperghoul Жыл бұрын
*Sellick maneuver that is different
@norjamiza8914
@norjamiza8914 Ай бұрын
I'm happy enjoyed this kind of the videos and helped me a lot as GA nurse too
@rikertvonfulton16
@rikertvonfulton16 2 ай бұрын
Just performed a RSI on a motorcycle wreck patient with a severe head injury in my ambulance 2 days ago. It is a process that takes time but a great tool to facilitate securing an airway in high stress situations.
@MrBabema
@MrBabema Жыл бұрын
I've got only few months to grad from medschool. Got anaesthesia end-of-posting test tomorrow, this video is helpful! Gracias, sir!
@liamplaxco9913
@liamplaxco9913 2 жыл бұрын
Eddie seriously you don't understand how ridiculously useful your channel has been for mine and other nurses' practice when it comes to the ICU. I'm a nursing student entering my last semester, but I also work in an ICU as a nurse extern. Seeing and hearing all these videos as I experience these events for the first time in the real world really cements it in my mind and I can even bring new information to the table that some nurses may not even be aware of. Not to say that I don't have so much more to learn. I'll be doing my practicum in the CVICU and I believe I want to practice there and eventually be a CRNA. Thanks for all the amazing videos.
@nicholasthompson8772
@nicholasthompson8772 2 жыл бұрын
I work as a tech in CVI. You’ll love it. Taking my NCLEX tomorrow
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
Liam, first off thanks for taking the time to leave such a great comment. Really glad that you have found these videos helpful and useful. Thats truly why I put them together to help it click for other people. Its all about exposure and information. The more you see and do things the better and it helps if you also have a good understanding of the fundamentals behind the what and why! Best of luck for your practicum in the CVICU. Very complex patients there and Im sure you'll love it!
@nicholasthompson8772
@nicholasthompson8772 2 жыл бұрын
Update. I passed 🎉
@liamplaxco9913
@liamplaxco9913 2 жыл бұрын
@@nicholasthompson8772 congratulations you're gonna be a fantastic nurse
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
@@nicholasthompson8772 Congrats!!!! Way to go and let the real learning begin now!
@hannahkoeczko9782
@hannahkoeczko9782 2 жыл бұрын
Great video Eddie. Thanks a lot 👍
@shoachiwarrior
@shoachiwarrior 8 ай бұрын
Thank you. This was very helpful!
@maciemarshall4642
@maciemarshall4642 6 ай бұрын
I wanna go to paramedic school next year and I’ve been preparing to ace the studies by head starts on unit topics I know my colleagues in my EMS division are doing right now. This is such a perfect clear explanation of RSI thank you!
@chirajeewa-medicineforheal7500
@chirajeewa-medicineforheal7500 3 ай бұрын
Very Useful. Thank You
@isaacheron1607
@isaacheron1607 Жыл бұрын
Very helpful!
@syedabood6892
@syedabood6892 2 жыл бұрын
Great video! I’ve been following your channel for years with the aspiration of becoming an ICU RN, instead of stepdown where I’ve been for three years. Just starting in ICU at a trauma I and I’m bringing myself up to speed with everything I possibly can!
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
Thanks Syed! Congrats on the new ICU gig and glad you are finding these videos helpful for you. A lot of great stuff so far and still a lot more to cover on my todo list!
@chetan7148
@chetan7148 2 жыл бұрын
Hi, your video's are very informative. I have one request can you add video on hypotension cause by adrenal insufficiency after major non cardiac surgery e.g hip replacement surgery.
@soominwoo4020
@soominwoo4020 Жыл бұрын
I started my ER rotation today. This week assigned topic discussion is RSI (mainly pharmacologic treatment), but i never hard about it before. Thank you for great explanation. It was helpful
@ICUAdvantage
@ICUAdvantage Жыл бұрын
Awesome! Glad you enjoyed the lesson and found it helpful
@mariocesarbenitez5552
@mariocesarbenitez5552 Жыл бұрын
Thanks so much
@NAKYEYUNENUSIFAH
@NAKYEYUNENUSIFAH 9 ай бұрын
Thanks
@Bu11sEye
@Bu11sEye 2 жыл бұрын
Do a video on delayed sequence intubation
@taylorpowers4933
@taylorpowers4933 6 ай бұрын
I will be off orientation for the first time tomorrow and it is so reassuring to have spent a short time getting a simple explanation of such an important topic. thank you!
@ICUAdvantage
@ICUAdvantage 5 ай бұрын
Awesome to hear this Taylor! Really glad the video was able to break things down and explain them in a way you found helpful! :)
@waynepalmar6101
@waynepalmar6101 2 жыл бұрын
Thank you
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
You're welcome!
@lobarita
@lobarita Жыл бұрын
Thanks Eddie.
@ICUAdvantage
@ICUAdvantage Жыл бұрын
Youre welcome man!
@dommeng1961
@dommeng1961 2 ай бұрын
Thak you
@barbaracherrington375
@barbaracherrington375 2 жыл бұрын
As always, great information. I am interested to be an icu trained and you are helping a great deal. Thanks in taking the time to bring these valuable information to your audience.
@barbaracherrington375
@barbaracherrington375 2 жыл бұрын
Hi Eddie. Can you please do a lecture on different types of rapid infusers such as those used in the emergency department. I know you usually focus on icu topics, but can you?
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
Thanks Barbara and just glad to be able to help in some way! Glad you enjoy these videos. As for your request, I do have a video talking about Massive Transfusion Protocol, but as for going over specific equipment I usually don't do that because 1) I don't have access to the equipment to be able to record video of their use (at least for the purposes of this channel) and 2) there are often many different manufacturers of different equipment and they all are different. I try to focus on the underlying concepts to understand and therefore someone could apply those concepts to any piece of equipment and just have to learn the specifics of how to operate the machine or equipment that they specifically use. Hope that makes sense.
@EnricoFaVasi420
@EnricoFaVasi420 Жыл бұрын
Cheers mate
@ICUAdvantage
@ICUAdvantage Жыл бұрын
ty!
@Dr.Rosun17
@Dr.Rosun17 Жыл бұрын
thank you
@ICUAdvantage
@ICUAdvantage Жыл бұрын
Youre welcome!
@anishaskspriya3489
@anishaskspriya3489 2 жыл бұрын
I’m an ICU NURSE ... have seen a lot of rapid intubation... but haven’t ever done this maneuver... we used to aspirate the stomach content of patients once after placing Ryles tube!!!!! Is that a right way????
@ivanp3647
@ivanp3647 Жыл бұрын
Hey ! Just started icu. I would love for you to do a video on ETOH withdrawal plan of care along with DT
@ICUAdvantage
@ICUAdvantage Жыл бұрын
Welcome to the ICU! I do have ETOH W/D on the todo list.
@angeramirez25
@angeramirez25 2 жыл бұрын
I'm a clinical dietitian and I work in a dyalisis unit. Despite I'm not usually the one doing this kind of things I like to learn cause our patients are prone to sudden cardiac arrests and we have been performing CPR a few times in them.
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
Always great to learn more! Glad you enjoyed the video.
@irenecruiz674
@irenecruiz674 2 жыл бұрын
Thanks!
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
Thank you so much for this Irene. I really appreciate your support!
@anjalisingh-mu7dd
@anjalisingh-mu7dd 6 ай бұрын
Nice video..i have a question??. I had a patient come in to ED with falling consciousness with spo2 68 ..and a k/c/o Ca GB under palliative care We decided to intubate the patient after consent. However she started to vomiting ..we started suction and prepared for intubation but we had already lost her I have few questions now? 1. In patient will falling consciousness how effective is ondansetron and metoclopromide before sedation and during sedation to control vomiting 2. If patient starts to vomit at the begining itself, what steps can i take to successfully intubate the patient now?
@Etomidate
@Etomidate Жыл бұрын
Most commonly used with paramedics
@nimochoudhary6265
@nimochoudhary6265 2 жыл бұрын
Great work .. sir plz make some videos about FASTHUG BID.and bipap and cpap .. plz consider my request.thnkw
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
I do have a whole video on CPAP vs BiPAP. As for FASTHUG, I don't know what that is?
@nimochoudhary6265
@nimochoudhary6265 2 жыл бұрын
@@ICUAdvantage oky sir thnkw for considering my request..
@okay3256
@okay3256 Жыл бұрын
Why is an RSI done during a cardiac arrest? Can someone please explain
@thekahales490
@thekahales490 10 ай бұрын
Learned this yesterday while intubating a patient 😢
@ICUAdvantage
@ICUAdvantage 10 ай бұрын
Hope the video helped
@skhumbuzodladla1457
@skhumbuzodladla1457 10 ай бұрын
🤓🤓🤓🤓🤓🤓
@ICUAdvantage
@ICUAdvantage 10 ай бұрын
😊
@hbgamer4555
@hbgamer4555 2 жыл бұрын
Always a great time when an RRT is called on the floor for respiratory distress and they come to icu maxed out on bipap and their ABG is shit.
@ICUAdvantage
@ICUAdvantage 2 жыл бұрын
Oh yeah, let the mess ensue.
@ozzya9977
@ozzya9977 2 жыл бұрын
Great video. Fyi, the 'I' in RSI stands for Induction not intubation
@0ThrowawayAccount0
@0ThrowawayAccount0 2 жыл бұрын
Quit being pedantic... It can mean either induction or intubation.
@jennykvox
@jennykvox Жыл бұрын
It stands for both. It clearly states rapid sequence intubation in several protocols.
@dzevadbayraktar322
@dzevadbayraktar322 8 ай бұрын
most people and books etc call it intubation but whatever makes you happy because we are at the end intubating right ....you don't just induce and walk away
@craig4322
@craig4322 2 жыл бұрын
Applying cric pressure has fallen out of vogue. The evidence behind this technique is poor. It also often hinders the intubator in placing the ETT.
@dzevadbayraktar322
@dzevadbayraktar322 8 ай бұрын
it all depends on the situation and the patient and the clinician doing it (I would ignore any paper/books or study that comes out of OR or anesthesia written OR based study etc as circumstances in OR are different than floors and ICU for example
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