What is Rapid Sequence Intubation (RSI)?

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  • Опубліковано 4 лют 2025

КОМЕНТАРІ • 71

  • @ICUAdvantage
    @ICUAdvantage  2 роки тому +10

    ❤ Show your support with an ICU Advantage sticker! 👉🏼 adv.icu/support
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    NOTES for this lesson (and all previous lessons) are availably only to UA-cam and Patreon members. Links to join both here ⬇
    ► UA-cam: adv.icu/ym | ► Patreon: adv.icu/pm

  • @perrinmichael4504
    @perrinmichael4504 2 роки тому +108

    BURP and Cricoid pressure are for 2 different reason. Cricoid is used to prevent aspiration if the patient is at risk for regurgitation. BURP is to aid intubation if the vocal cords are more anterior. BURP helps bring the vocal cord to better view during laryngoscopy.

    • @hyperghoul
      @hyperghoul Рік тому +3

      *Sellick maneuver that is different

  • @rikertvonfulton16
    @rikertvonfulton16 8 місяців тому +7

    Just performed a RSI on a motorcycle wreck patient with a severe head injury in my ambulance 2 days ago. It is a process that takes time but a great tool to facilitate securing an airway in high stress situations.

  • @liamplaxco9913
    @liamplaxco9913 2 роки тому +40

    Eddie seriously you don't understand how ridiculously useful your channel has been for mine and other nurses' practice when it comes to the ICU. I'm a nursing student entering my last semester, but I also work in an ICU as a nurse extern. Seeing and hearing all these videos as I experience these events for the first time in the real world really cements it in my mind and I can even bring new information to the table that some nurses may not even be aware of. Not to say that I don't have so much more to learn. I'll be doing my practicum in the CVICU and I believe I want to practice there and eventually be a CRNA. Thanks for all the amazing videos.

    • @nicholasthompson8772
      @nicholasthompson8772 2 роки тому +1

      I work as a tech in CVI. You’ll love it. Taking my NCLEX tomorrow

    • @ICUAdvantage
      @ICUAdvantage  2 роки тому +6

      Liam, first off thanks for taking the time to leave such a great comment. Really glad that you have found these videos helpful and useful. Thats truly why I put them together to help it click for other people. Its all about exposure and information. The more you see and do things the better and it helps if you also have a good understanding of the fundamentals behind the what and why! Best of luck for your practicum in the CVICU. Very complex patients there and Im sure you'll love it!

    • @nicholasthompson8772
      @nicholasthompson8772 2 роки тому +7

      Update. I passed 🎉

    • @liamplaxco9913
      @liamplaxco9913 2 роки тому +3

      @@nicholasthompson8772 congratulations you're gonna be a fantastic nurse

    • @ICUAdvantage
      @ICUAdvantage  2 роки тому +3

      @@nicholasthompson8772 Congrats!!!! Way to go and let the real learning begin now!

  • @syedabood6892
    @syedabood6892 2 роки тому +7

    Great video! I’ve been following your channel for years with the aspiration of becoming an ICU RN, instead of stepdown where I’ve been for three years. Just starting in ICU at a trauma I and I’m bringing myself up to speed with everything I possibly can!

    • @ICUAdvantage
      @ICUAdvantage  2 роки тому +2

      Thanks Syed! Congrats on the new ICU gig and glad you are finding these videos helpful for you. A lot of great stuff so far and still a lot more to cover on my todo list!

  • @norjamiza8914
    @norjamiza8914 8 місяців тому +2

    I'm happy enjoyed this kind of the videos and helped me a lot as GA nurse too

  • @MrBabema
    @MrBabema 2 роки тому +1

    I've got only few months to grad from medschool. Got anaesthesia end-of-posting test tomorrow, this video is helpful! Gracias, sir!

  • @maciemarshall4642
    @maciemarshall4642 Рік тому

    I wanna go to paramedic school next year and I’ve been preparing to ace the studies by head starts on unit topics I know my colleagues in my EMS division are doing right now. This is such a perfect clear explanation of RSI thank you!

  • @soominwoo4020
    @soominwoo4020 2 роки тому +3

    I started my ER rotation today. This week assigned topic discussion is RSI (mainly pharmacologic treatment), but i never hard about it before. Thank you for great explanation. It was helpful

    • @ICUAdvantage
      @ICUAdvantage  2 роки тому

      Awesome! Glad you enjoyed the lesson and found it helpful

  • @irenecruiz674
    @irenecruiz674 2 роки тому

    Thanks!

    • @ICUAdvantage
      @ICUAdvantage  2 роки тому

      Thank you so much for this Irene. I really appreciate your support!

  • @taylorpowers4933
    @taylorpowers4933 Рік тому

    I will be off orientation for the first time tomorrow and it is so reassuring to have spent a short time getting a simple explanation of such an important topic. thank you!

    • @ICUAdvantage
      @ICUAdvantage  Рік тому

      Awesome to hear this Taylor! Really glad the video was able to break things down and explain them in a way you found helpful! :)

  • @hannahkoeczko9782
    @hannahkoeczko9782 2 роки тому +2

    Great video Eddie. Thanks a lot 👍

  • @aabishkhan1665
    @aabishkhan1665 4 місяці тому

    I am BS anesthesia 3rd semester student this vid is really helpful ❤❤❤

  • @chirajeewa-medicineforheal7500
    @chirajeewa-medicineforheal7500 10 місяців тому

    Very Useful. Thank You

  • @shoachiwarrior
    @shoachiwarrior Рік тому

    Thank you. This was very helpful!

  • @waynepalmar6101
    @waynepalmar6101 2 роки тому +3

    Thank you

  • @helpseeking7787
    @helpseeking7787 5 днів тому

    Thank u soo much!!!!!!!!

  • @chetan7148
    @chetan7148 2 роки тому +1

    Hi, your video's are very informative. I have one request can you add video on hypotension cause by adrenal insufficiency after major non cardiac surgery e.g hip replacement surgery.

  • @barbaracherrington375
    @barbaracherrington375 2 роки тому +2

    As always, great information. I am interested to be an icu trained and you are helping a great deal. Thanks in taking the time to bring these valuable information to your audience.

    • @barbaracherrington375
      @barbaracherrington375 2 роки тому

      Hi Eddie. Can you please do a lecture on different types of rapid infusers such as those used in the emergency department. I know you usually focus on icu topics, but can you?

    • @ICUAdvantage
      @ICUAdvantage  2 роки тому

      Thanks Barbara and just glad to be able to help in some way! Glad you enjoy these videos.
      As for your request, I do have a video talking about Massive Transfusion Protocol, but as for going over specific equipment I usually don't do that because 1) I don't have access to the equipment to be able to record video of their use (at least for the purposes of this channel) and 2) there are often many different manufacturers of different equipment and they all are different.
      I try to focus on the underlying concepts to understand and therefore someone could apply those concepts to any piece of equipment and just have to learn the specifics of how to operate the machine or equipment that they specifically use. Hope that makes sense.

  • @Bu11sEye
    @Bu11sEye 2 роки тому +1

    Do a video on delayed sequence intubation

  • @alexm3308
    @alexm3308 2 місяці тому

    Hi! biomed engineer here, that designs ariway management manikins. Great video! BTW - would you ever put full pressure during Sellick Manever if the patient is fully awake in any emergency scenario?

  • @NAKYEYUNENUSIFAH
    @NAKYEYUNENUSIFAH Рік тому

    Thanks

  • @mariocesarbenitez5552
    @mariocesarbenitez5552 Рік тому

    Thanks so much

  • @isaacheron1607
    @isaacheron1607 Рік тому

    Very helpful!

  • @ivanp3647
    @ivanp3647 2 роки тому

    Hey ! Just started icu. I would love for you to do a video on ETOH withdrawal plan of care along with DT

    • @ICUAdvantage
      @ICUAdvantage  2 роки тому +1

      Welcome to the ICU! I do have ETOH W/D on the todo list.

  • @lobarita
    @lobarita 2 роки тому

    Thanks Eddie.

  • @angeramirez25
    @angeramirez25 2 роки тому +2

    I'm a clinical dietitian and I work in a dyalisis unit. Despite I'm not usually the one doing this kind of things I like to learn cause our patients are prone to sudden cardiac arrests and we have been performing CPR a few times in them.

    • @ICUAdvantage
      @ICUAdvantage  2 роки тому

      Always great to learn more! Glad you enjoyed the video.

  • @EnricoFaVasi420
    @EnricoFaVasi420 2 роки тому +1

    Cheers mate

  • @TadesseAsefa-xw9ue
    @TadesseAsefa-xw9ue 3 місяці тому

    When can i aplay pressure on cricoid cartilage ?

  • @dommeng1961
    @dommeng1961 9 місяців тому

    Thak you

  • @anishaskspriya3489
    @anishaskspriya3489 2 роки тому +1

    I’m an ICU NURSE ... have seen a lot of rapid intubation... but haven’t ever done this maneuver... we used to aspirate the stomach content of patients once after placing Ryles tube!!!!! Is that a right way????

  • @anjalisingh-mu7dd
    @anjalisingh-mu7dd Рік тому

    Nice video..i have a question??.
    I had a patient come in to ED with falling consciousness with spo2 68 ..and a k/c/o Ca GB under palliative care
    We decided to intubate the patient after consent. However she started to vomiting ..we started suction and prepared for intubation but we had already lost her
    I have few questions now?
    1. In patient will falling consciousness how effective is ondansetron and metoclopromide before sedation and during sedation to control vomiting
    2. If patient starts to vomit at the begining itself, what steps can i take to successfully intubate the patient now?

  • @Etomidate
    @Etomidate 2 роки тому

    Most commonly used with paramedics

  • @thekahales490
    @thekahales490 Рік тому +1

    Learned this yesterday while intubating a patient 😢

  • @okay3256
    @okay3256 Рік тому

    Why is an RSI done during a cardiac arrest? Can someone please explain

  • @skhumbuzodladla1457
    @skhumbuzodladla1457 Рік тому +1

    🤓🤓🤓🤓🤓🤓

  • @nimochoudhary6265
    @nimochoudhary6265 2 роки тому

    Great work .. sir plz make some videos about FASTHUG BID.and bipap and cpap .. plz consider my request.thnkw

    • @ICUAdvantage
      @ICUAdvantage  2 роки тому +1

      I do have a whole video on CPAP vs BiPAP. As for FASTHUG, I don't know what that is?

    • @nimochoudhary6265
      @nimochoudhary6265 2 роки тому

      @@ICUAdvantage oky sir thnkw for considering my request..

  • @craig4322
    @craig4322 2 роки тому +2

    Applying cric pressure has fallen out of vogue. The evidence behind this technique is poor. It also often hinders the intubator in placing the ETT.

  • @ozzya9977
    @ozzya9977 2 роки тому +5

    Great video.
    Fyi, the 'I' in RSI stands for Induction not intubation

    • @0ThrowawayAccount0
      @0ThrowawayAccount0 2 роки тому +8

      Quit being pedantic... It can mean either induction or intubation.

    • @jennykvox
      @jennykvox Рік тому

      It stands for both. It clearly states
      rapid sequence intubation in several protocols.

  • @hbgamer4555
    @hbgamer4555 2 роки тому

    Always a great time when an RRT is called on the floor for respiratory distress and they come to icu maxed out on bipap and their ABG is shit.

  • @Dr.Rosun17
    @Dr.Rosun17 2 роки тому

    thank you