Skip Navigation LinksHome > July/September 2012 - Volume 23 - Issue 3 > Providing Safe Passage: Rapid Sequence Intubation for Advanc...
AACN Advanced Critical Care:
doi: 10.1097/NCI.0b013e31825dfea6

Providing Safe Passage: Rapid Sequence Intubation for Advanced Practice Nursing

Dalley, Carrie Bowman MS, CRNA; Tola, Denise H. MSN, CRNA; Kesten, Karen S. DNP, APRN, CCRN, PCCN, CCNS

Continued Education
Collapse Box


Rapid sequence intubation (RSI) is a lifesaving technique performed by advanced practice nurses when patients require endotracheal intubation but are at risk for gastric aspiration. In the acute care setting, the procedure often is indicated when critically ill or injured patients exhibit difficulty maintaining a patent airway and/or are displaying inadequate oxygenation and ventilation. The goal of this article is to provide advanced practice nurses with information that promotes safe and effective clinical decision making during RSI on the basis of the current state of the science. Standard RSI practices in stable patients are reviewed, and the need for individualized modifications of this “ideal” practice in unstable, critically ill patients is addressed. Factors predisposing a patient to difficult airway management, proper equipment, and patient preparation are highlighted, along with the relevant pharmacology. Finally, prevention of potential complications during RSI in the acute care setting is discussed.

© 2012 American Association of Critical–Care Nurses


Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.