Question about ETI, RSI

My bad.... I guess I could have clarified. I agree... it normally it does look like a twitch. I have seen some look a bit more than twiches and could potentially cause issues if they were borderline to disecting. That was just a concern I have read and heard thru the lines over time, never experienced any great motor movement to make me worry.... or make me say, "Ohh snap". B)
 
Fasiculations and other stuff.

Iv'e never seen more than a quiver of the legs or arms or both when using sux for inductions. Most of the time you can barely notice anything at all. We use sux because it has a short half life. The reason being of course is the prospect of the failed intubation.

As for those who say they don't pre-oxygenate before paralysis. Is that all the time? Considering many or even most patients needing a tube using RSI already have some level of airway +/- oxygenation issue that needs addressing and you paralyse the patient I would have thought lung fields saturated with O2 would'nt be such a bad thing - might give you that extra margin of error when you struggle to place the tube after giving them the sux. Otherwise watch the SpO2 go south like a plunging neck line.

Our pre-flight checks include monitoring and recording of all vitals including ensuring near 100% O2 sats before you turn off the lungs.

MM

PS On the RSI DAI terminology thing. I just put a post into the thread on the subject. DAI is not sedation to intubate. Drug assisted intubation is an umbrella term to describe using drugs to place a tube against intact airway and other reflexes eg gag and trismus. Thus RSI and sedate to tube are two types of "drug assisted" intubation.
 
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