Rapid Sequence Induction - Controversy

Controversy

Since the introduction of RSI, there has been controversy regarding virtually every aspect of this technique, including:

  • choice of intravenous hypnotic agents as well as their dosage and timing of administration
  • dosage and timing of administration of neuromuscular blocking agents
  • avoidance of manual ventilation before tracheal intubation
  • optimal position and whether the head-up, head-down, or horizontal supine position is the safest for induction of anesthesia in full-stomach patients
  • application of cricoid pressure, which is also referred to as the Sellick maneuver

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