Rapid Sequence Intubation Technique with Aerosol box in the Emergency Department

Rapid Sequence Intubation Technique

Authors

  • Chompunut Saengpanit Department of Emergency Medicine, Buddhachinaraj Phitsanulok Hospital, Phitsanulok

Keywords:

rapid sequence intubation (RSI), Emergency Department, success rate, aerosol box

Abstract

Rapid Sequence Intubation (RSI) is the standard technique for airway management in Emergency Department (ED), with a high  success rate of intubation and low  complications. The addition of aerosol box during intubation minimizes risk of  ransmitting the infection to healthcare  workers in the Coronavirus disease 2019  pandemic. The purpose of this quasi-experimental research was to compare the success rate, intubation time and  complications between RSI and  conventional intubation (non-RSI) in adult  patients who under went intubation with  aerosol box at ED. The sample were 100  patients that divided into experimental group and control group, 50 patients in  each group. The experimental group  received RSI techniques, whereas the  control group received non-RSI techniques.  The results showed that the intubation  success rate in RSI group was significantly  higher than non-RSI group (p = 0.023), the  intubation time in RSI group was  significantly  shorter than non-RSI group (p  < 0.001). However, there were no  differences between groups for  complications. In conclusion, using RSI with  aerosol box is more effective than non-RSI.  RSI should be adopted into routine clinical practice in ED to improve the quality of care  for critically ill patients.

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Published

2022-05-23