RSI; Roadside to Resus
The Resus Room
Simon Laing
4.8 • 678 Ratings
🗓️ 20 March 2018
⏱️ 48 minutes
🧾️ Download transcript
Summary
Gaining control of the airway in a critically unwell patient is a key skill of the critical care team and littered with potential for difficulty and complications.
NAP4 highlighted the real dangers faced with their review of complications of airway management in the UK, lessons have been learnt and practice has progressed. As always there is room to improve on current practice and a recent paper published in Anaesthesia describes a comprehensive strategy to optimise oxygenation, airway management, and tracheal intubation in critically ill patients in all hospital locations.
In this podcast we cover;
- Why this matters to all involved in critically unwell patients, not just those delivering RSI
- Recap of RSI, the procedure and its indictions
- Headlines from NAP4
- Strategies highlighted to optimise airway management and oxygenation
- How this impacts our prehospital and inhospital practive
We'd love to hear your thoughts so please leave your comments below or contact us via twitter @TheResusRoom
Enjoy!
References & Further Reading
Transcript
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| 0:00.0 | Welcome to the Recess Room podcast. |
| 0:03.9 | Five, four, three, two, one, fire. |
| 0:13.0 | So hi, and welcome back to the Reeser Room podcast. I'm Simon Lang. I'm Rob Fenwick. And I'm James Yates. |
| 0:20.0 | And we're back with another roadside to recess. |
| 0:24.1 | And this time we're talking about intubation in the critically unwell. |
| 0:28.8 | So this follows on from a recent publication entitled The Guidelines for the Management of Tracheal intubation in critically ill adults. |
| 0:39.5 | Now this is aimed at the in-hospital provider, but it's got a huge amount of information |
| 0:44.3 | in there that we can all apply to our practice to try and ensure that we're delivering this |
| 0:49.0 | critical intervention to these really sick patients in a safe and effective manner. |
| 0:56.0 | It follows on from Knapp 4, which was published several years ago, and it really does help |
| 1:01.3 | move forward airway practice. |
| 1:04.2 | Now, not all of you out there will be intubating critically unwell adults, but what it will do |
| 1:10.5 | is by gaining an understanding of this, |
| 1:12.6 | you can anticipate what will happen when those patients go on to be intubated and what you can |
| 1:17.6 | do in the preparation for it and also to assist when that situation arises. Before we start, |
| 1:25.0 | a huge thanks to our sponsors AdP, who provide high-quality advanced clinical |
| 1:30.0 | practitioners to EDs up and down the country. And we couldn't go without mentioning our |
| 1:35.0 | critical appraisal course. So if any of you out there are trying to brush up your skills on |
| 1:38.9 | critical appraisal or have an exam coming up in the topic, then go and have a look at our course |
| 1:44.0 | at critical appraisal loaddown.com.com. So with that... or have an exam coming up in the topic, then go and have a look at our course at |
| 1:44.4 | Critical Appraisal Lowdown.com.uk. |
| 1:47.9 | So without further ado, let's crack on with the podcast. |
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