Cylinder & Anesthesia Machine
During rapid sequence induction of anaesthesia
|A||Sellick’s maneuver is not required|
|B||Preoxygenation is mandatory|
|C||Suxamethonium is CI|
|D||Patient is mechanically ventilated before endotracheal intubation|
Preoxygenation is mandatory
Rapid sequence (crash) intubation technique is applied to full stomach patients. In this technique:
a. Preoxygenation is done for 5 minutes.
b. Intravenous induction agent is given.
c. Succinylcholine is given. As soon as succinylcholine is given the assistant applies cricoid pressure. This is called as Sellik's manoeuvre. Cricoid pressure will compress esophagus between fingers and vertebral column preventing aspiration.
d. IPPV with bag and mask is CI because air can leak in stomach and can raise the intragastric pressure above critical pressure.
e. Cricoid pressure is relieved only after cuff is inflated.