Open AccessUltra-modified rapid sequence induction with transnasal humidified rapid insufflation ventilatory exchange: Challenging convention
Author(s) -
Ketan Kulkarni,
Nandini Dave,
S. Saran,
Madhu Garasia,
Sandesh Parelkar
Publication year - 2018
Publication title -
indian journal of anaesthesia/indian journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.645
H-Index - 30
eISSN - 0976-2817
pISSN - 0019-5049
DOI - 10.4103/ija.ija_536_17
Subject(s) - insufflation , medicine , rapid sequence induction , anesthesia , oxygenation , ventilation (architecture) , surgery , intubation , engineering , mechanical engineering
During positive pressure ventilation, gastric inflation and subsequent pulmonary aspiration can occur. Rapid sequence induction (RSI) technique is an age-old formula to prevent this. We adopted a novel approach of RSI for patients with high risk of aspiration and evaluated it further in patients undergoing laparoscopic surgeries. We believe that, in patients with risk of gastric insufflation and pulmonary aspiration, transnasal humidified rapid-insufflation ventilatory exchange can be useful in facilitating pre- and apnoeic oxygenation till tracheal isolation is achieved.