Gerardi M J, Sacchetti A D, Cantor R M, Santamaria J P, Gausche M, Lucid W, Foltin G L
Saint Barnabas Medical Center, Livingston, New Jersey, USA.
Ann Emerg Med. 1996 Jul;28(1):55-74. doi: 10.1016/s0196-0644(96)70140-3.
Airway compromise is the most common cause of death and severe morbidity in acutely ill and injured children. Rapid-sequence intubation (RSI) is a technique for emergency airway control designed to maximize successful endotracheal intubation while minimizing the adverse physiologic effects of this procedure. RSI requires familiarity with patient evaluation, airway-management techniques, sedation agents, neuromuscular blocking agents, additional adjunctive agents, and postintubation management techniques. Emergency physicians should use RSI techniques in the endotracheal intubation of critically ill children.
气道梗阻是急病和受伤儿童死亡及严重发病的最常见原因。快速顺序诱导插管(RSI)是一种用于紧急气道控制的技术,旨在最大限度地提高气管插管成功率,同时将该操作的不良生理影响降至最低。RSI需要熟悉患者评估、气道管理技术、镇静剂、神经肌肉阻滞剂、其他辅助药物以及插管后管理技术。急诊医生在对重症儿童进行气管插管时应使用RSI技术。