According to the SFAR-SRLF joint guidelines, what equipment is needed to perform rapid sequence intubation?

Updated: Apr 07, 2020
  • Author: Keith A Lafferty, MD; Chief Editor: Guy W Soo Hoo, MD, MPH  more...
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Answer

To confirm the correct position of the endotracheal tube, supraglottic device, or direct approach through the trachea, capnographic control is necessary.

A difficult airway trolley and a bronchoscope (conventional or single use) are needed for emergent management of a difficult intubation.

To improve the success rate of endotracheal intubation, use metal blades for direct laryngoscopy.

Videolaryngoscopes should be used initially or after failure of direct laryngoscopy in order to limit intubation failures.

For oxygenation and to facilitate intubation under bronchoscopic control, use supraglottic devices.

For pediatric patients, laryngoscopic blades used should be suited to the habits of the practitioners (eg, Miller straight blade, Macintosh curved blade). Exposition failure warrants a change in the type of blade used. Additionally, oral intubation is preferred, as are cuffed tubes to limit reintubations due to leakage.


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