Key result
Classic RSII poses severe aspiration risks in pediatric anesthesia and lacks utility without modification.
Why the study?
Does classic rapid sequence induction and intubation prevent pulmonary aspiration safely in pediatric anesthesia?
Does classic rapid sequence induction and intubation prevent pulmonary aspiration safely in pediatric anesthesia?
Classic rapid sequence induction and intubation is dangerous and has no utility in pediatric anesthesia, where controlled induction by trained specialists is recommended instead.
Answers are grounded in this paper and cite their sources.
Classic RSII may pose unrecognized risks in children; leaves open the need for pediatric-specific induction protocols in prospective studies.
(Classic) rapid sequence induction and intubation (RSII) has been considered fundamental to the provision of safe anesthesia. This technique consists of a combination of drugs and techniques and is intended to prevent pulmonary aspiration of gastric content with catastrophic outcomes to the patient. This review investigates aspects of this technique and highlights dangers and frauds if this technique is transferred directly into pediatric anesthesia practice. The author recommends a controlled anesthesia induction by trained pediatric anesthesiologist with suitable equipment for the children considered at risk of pulmonary aspiration. RSSI is a dangerous technique if adopted without modification into pediatric anesthesia and has in its 'classic' form no use.
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Thomas Engelhardt (2014) conducted a review in Pediatric anesthesia. Classic rapid sequence induction and intubation (RSII) vs. Controlled anesthesia induction was evaluated on Safety and prevention of pulmonary aspiration. Classic rapid sequence induction and intubation is dangerous if adopted without modification into pediatric anesthesia and has no use in its classic form.
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