Mace Sharon Elizabeth
Cleveland Clinic Lerner College of Medicine of Case Western Reserve, Cleveland, OH 44195, USA.
Emerg Med Clin North Am. 2008 Nov;26(4):1043-68, x. doi: 10.1016/j.emc.2008.10.002.
Rapid sequence intubation is the process involving administration of a sedative (eg, induction agent) followed almost immediately by a neuromuscular blocking agent to facilitate endotracheal intubation The purpose of emergency RSI is to make emergent intubation easier and safer, thereby increasing the success rate of intubation while decreasing the complications. Possible disadvantages are complications from the additional drugs, prolonged intubation with hypoxia, and precipitating an emergent or crash airway. Controversy has arisen regarding various steps in RSI; however, RSI remains the standard of care in emergency medicine airway management.
快速顺序诱导插管是一个先给予镇静剂（如诱导剂），几乎紧接着再给予神经肌肉阻滞剂以利于气管插管的过程。急诊快速顺序诱导插管的目的是使紧急插管更容易、更安全，从而提高插管成功率并减少并发症。可能的缺点包括额外药物引起的并发症、因缺氧导致插管时间延长以及引发紧急气道情况。关于快速顺序诱导插管的各个步骤已经出现了争议；然而，快速顺序诱导插管仍然是急诊医学气道管理的标准治疗方法。
