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Pharmacy to Dose: The Critical Care Podcast
RSI: Part II
May 3, 2024
Pharmacists Christine Groth, Angela Slampak-Cindric, and Kevin Kaucher discuss RSI guidelines, pharmacotherapy, non-pharmacologic recommendations, and potential research ideas. They delve into the importance of evidence-based practices, medication safety concerns, and the impact of guidelines on clinical practice.
01:26:08
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Quick takeaways
- Pre-oxygenation with high flow nasal cannula is recommended before RSI for challenging laryngoscopy.
- The semi-Fowler position is advised for critically ill adults during RSI to improve intubation conditions.
Deep dives
Semi-Fowler Position During RSI
The guideline suggests using the semi-Fowler position for critically ill adults undergoing RSI based on potential benefits such as increased functional residual capacity and improved laryngeal view. Despite a conditional recommendation due to low-quality evidence, the position is feasible, low-cost, and supported by non-critically ill patient studies.
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