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EMCrit Podcast

EMCrit 352 - Airway Update 2023

Jun 29, 2023
Exploring the creation and trials of Delayed Sequence Intubation in emergency care. Study comparing RSI to DSI methods show DSI's superior performance. Impact of ketamine on pre-oxygenation and advantages of DSI over RSI highlighted.
08:14

Podcast summary created with Snipd AI

Quick takeaways

  • Delayed Sequence Intubation (DSI) reduces peri-intubation hypoxia compared to Rapid Sequence Intubation (RSI)
  • DSI demonstrates higher first-pass intubation success rates in trauma patients

Deep dives

Research Study on Delayed Sequence Intubation (DSI)

A recent research study focused on Delayed Sequence Intubation (DSI) in trauma emergency departments, comparing it to standard Rapid Sequence Intubation (RSI). The study excluded patients with predicted difficult airways and active vomiting, aiming to identify the impact on peri-intubation hypoxia and intubation success rates. Results revealed a significant reduction in peri-intubation hypoxia with DSI compared to RSI, with a hypoxia rate of 8% in the DSI group versus 35% in the RSI group. Additionally, the first-pass intubation success rate was higher in the DSI group at 83% compared to 69% in the RSI group, highlighting DSI as a potentially beneficial technique in emergency and critical care settings.

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