RSI: rapid sequence intubation; SpO2: oxygen saturation; PIM: post-intubation management; BMV: bag-mask ventilation; EGD: extraglottic airway device; NMBA: neuromuscular blocking agent.
* Predicting the difficult airway is discussed in the UpToDate topic and includes assessment tools such as the LEMON mnemonic.
¶ This situation is further discussed in the UpToDate topic and includes, for example, a patient who is agitated and unable to cooperate or a patient with rapidly progressing airway swelling.
Δ Triple setup implies a primary intubating plan is in place, followed by a nonsurgical rescue device (eg, EGD), and lastly a surgical rescue plan (most often an open surgical bougie-assisted cricothyrotomy).
◊ During RSI, physiologic derangements such as hypotension and hypoxemia increase the risk of cardiovascular collapse during the peri-intubation period. Possible mitigating interventions include the following:§ The minimum age/weight limit for an intubating EGD is 12 yrs/30 kg.
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