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Letters to the Editor: Letters & Announcements

In Response

Ehrenfeld, Jesse M. MD, MPH

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doi: 10.1213/ANE.0b013e318276971f
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In Response

Salem et al.1 correctly point out that as rapid sequence induction and intubation (RSII) developed, historically, the first form as described in the 1950s included ventilation before tracheal intubation. While their correction in reference to our study2 is appreciated, we believe that the nomenclature as presented in our article should stand because current trainees and recent students of anesthesiology practice are familiar with and make use of the current (not historical) usage and nomenclature. In all of the major anesthesiology texts and recent literature, RSII in the modern day is used to describe intubation before mask ventilation. Therefore, we believe that our description of the modified RSII, in which there is an attempt to ventilate the patient’s lungs before securing the airway, is appropriate.

Jesse M. Ehrenfeld, MD, MPH

Vanderbilt University Medical Center

Nashville, Tennessee

[email protected]


1. Salem C-W, Khorasani C. Which is the original and which is the modified rapid sequence induction and intubation: let history be the judge! Anesth Analg. 2013;116:264–5
2. Ehrenfeld JM, Cassedy EA, Forbes VE, Mercaldo ND, Sandberg WS. Modified rapid sequence induction and intubation: a survey of United States current practice. Anesth Analg. 2012;115:95–101
© 2013 International Anesthesia Research Society