Home  About us  Contact
 

Sequence Induction (sequence + induction)

Distribution by Scientific Domains
Medical Sciences100%

Kinds of Sequence Induction

  • rapid sequence induction
    		•

    Selected Abstracts

    Rapid sequence induction in children , it's not a matter of time!

    PEDIATRIC ANESTHESIA, Issue 2 2008
    MARKUS WEISS MD
    No abstract is available for this article. [source]

    Rapid sequence induction for penetrating head injury from a chopstick in a paediatric patient

    PEDIATRIC ANESTHESIA, Issue 1 2002
    H SUZUKI
    No abstract is available for this article. [source]

    ORIGINAL ARTICLE: Can sugammadex save a patient in a simulated ,cannot intubate, cannot ventilate' situation?

    ANAESTHESIA, Issue 9 2010
    M. M. A. Bisschops
    Summary Recent studies have shown that the use of high dose rocuronium followed by sugammadex provides a faster time to recovery from neuromuscular blockade following rapid sequence induction than suxamethonium. In a manikin-based ,cannot intubate, cannot ventilate' simulation, we studied the total time taken for anaesthetic teams to prepare and administer sugammadex from the time of their initial decision to use the drug. The mean (SD) total time to administration of sugammadex was 6.7 (1.5) min, following which a further 2.2 min (giving a total 8.9 min) should be allowed to achieve a train-of-four ratio of 0.9. Four (22%) teams gave the correct dose, 10 (56%) teams gave a dose that was lower than recommended, four (22%) teams gave a dose that was higher than recommended, six (33%) teams administered sugammadex in a single dose, and 12 (67%) teams gave multiple doses. Our simulation highlights that sugammadex might not have saved this patient in a ,cannot intubate, cannot ventilate' situation, and that difficulties and delays were encountered when identifying, preparing and administering the correct drug dose. [source]

    Correspondence: Desaturation during rapid sequence induction of anaesthesia

    ANAESTHESIA, Issue 9 2010
    J. S. Dawson
    No abstract is available for this article. [source]

    Effect of suxamethonium vs rocuronium on onset of oxygen desaturation during apnoea following rapid sequence induction

    ANAESTHESIA, Issue 4 2010
    S. K. Taha
    Summary This study investigates the effect of suxamethonium vs rocuronium on the onset of haemoglobin desaturation during apnoea, following rapid sequence induction of anaesthesia. Sixty patients were randomly allocated to one of three groups. Anaesthesia was induced with lidocaine 1.5 mg.kg,1, fentanyl 2 ,g.kg,1 and propofol 2 mg.kg,1, followed by either rocuronium 1 mg.kg,1 (Group R) or suxamethonium 1.5 mg.kg,1 (Group S). The third group received propofol 2 mg.kg,1 and suxamethonium 1.5 mg.kg,1 only (Group SO). The median (IQR [range]) time to reach SpO2 of 95% was significantly shorter in Group S (358 (311,373 [215,430]) s) than in Group R (378 (370,393 [366,420]) s; p = 0.003), and shorter in Group SO (242 (225,258 [189,370]) s) than in both Group R (p < 0.001) and Group S (p < 0.001). When suxamethonium is administered for rapid sequence induction of anaesthesia, a faster onset of oxygen desaturation is observed during the subsequent apnoea compared with rocuronium. However, time to desaturation is prolonged whenever lidocaine and fentanyl precede suxamethonium. [source]

    Bag-mask ventilation in rapid sequence induction

    ANAESTHESIA, Issue 7 2009
    J. P. R. Brown
    No abstract is available for this article. [source]

    Rapid sequence induction: an evolving beast

    ANAESTHESIA, Issue 7 2009
    M. Halai
    No abstract is available for this article. [source]

    A multi-regional survey of drugs used for rapid sequence induction of anaesthesia

    ANAESTHESIA, Issue 7 2009
    R. M. Williamson
    No abstract is available for this article. [source]

    Anaesthesia in haemodynamically compromised emergency patients: does ketamine represent the best choice of induction agent?

    ANAESTHESIA, Issue 5 2009
    C. Morris
    Summary In rapid sequence induction of anaesthesia in the emergency setting in shocked or hypotensive patients (e.g. ruptured abdominal aortic aneurysm, polytrauma or septic shock), prior resuscitation is often suboptimal and comorbidities (particularly cardiovascular) may be extensive. The induction agents with the most favourable pharmacological properties conferring haemodynamic stability appear to be ketamine and etomidate. However, etomidate has been withdrawn from use in some countries and impairs steroidogenesis. Ketamine has been traditionally contra-indicated in the presence of brain injury, but we argue in this review that any adverse effects of the drug on intracranial pressure or cerebral blood flow are in fact attenuated or reversed by controlled ventilation, subsequent anaesthesia and the greater general haemodynamic stability conferred by the drug. Ketamine represents a very rational choice for rapid sequence induction in haemodynamically compromised patients. [source]

    Pre-oxygenation and apnoea in pregnancy: changes during labour and with obstetric morbidity in a computational simulation

    ANAESTHESIA, Issue 4 2009
    S. H. McClelland
    Summary Using the Nottingham Physiology Simulator, we investigated the effects on pre-oxygenation and apnoea during rapid sequence induction of labour, obesity, sepsis, pre-eclampsia, maternal haemorrhage and multiple pregnancy in term pregnancy. Pre-oxygenation with 100% oxygen was followed by simulated rapid sequence induction when end-tidal nitrogen tension was less than 1 kPa, and apnoea. Labour, morbid obesity and sepsis accelerated pre-oxygenation and de-oxygenation during apnoea. Fastest pre-oxygenation was in labour, with 95% of the maximum change in expired oxygen tension occurring in 47 s, compared to 97 s in a standard pregnant subject. The labouring subject with a body mass index of 50 kg.m,2 demonstrated the fastest desaturation, the time taken to fall to an arterial saturation < 90% being 98 s, compared to 292 s in a standard pregnant subject. Pre-eclampsia prolonged pre-oxygenation and tolerance to apnoea. Maternal haemorrhage and multiple pregnancy had minor effects. Our results inform the risk-benefit comparison of the anaesthetic options for Caesarean section. [source]

    Variation in rapid sequence induction techniques: current practice in Wales

    ANAESTHESIA, Issue 1 2009
    J. P. Koerber
    Summary A questionnaire survey examining rapid sequence induction techniques was sent to all anaesthetists in Wales. The questionnaire presented five common clinical scenarios: emergency appendicectomy; elective knee arthroscopy with a symptomatic hiatus hernia; elective knee arthroscopy with an asymptomatic hiatus hernia; elective Caesarean section; and emergency laparotomy for bowel obstruction. Completed surveys were received from 421 anaesthetists, a 68% response rate. Rapid sequence induction was chosen by 398/400 respondents (100%) for bowel obstruction, 392/399 (98%) for Caesarean section, 388/408 (95%) for appendicectomy, 328/395 (83%) for symptomatic hiatus hernia but only 98/399 (25%) for asymptomatic hiatus hernia (p < 0.001). Trainees were more likely to use a rapid sequence induction technique than consultants and staff grades for the appendicectomy (p = 0.025), symptomatic hiatus hernia (p = 0.004) and asymptomatic hiatus hernia (p = 0.001) scenarios and were also more likely to use a thiopental,suxamethonium combination for rapid sequence induction (p < 0.001). [source]

    Rapid sequence induction: suxamethonium or rocuronium?

    ANAESTHESIA, Issue 1 2000
    D. M. Levy
    No abstract is available for this article. [source]