Description: We commonly see patients arrest during or immediately after RSI. We will describe how this happens and how to prevent it.
- After this presentation, the participant will be able to predict the anatomically difficult airway and develop a strategy for its successful management.
- After this presentation, the participant will be able to recognize patients who are at risk for physiologic decompensation during or immediately after RSI and employ measures to prevent this.
- After this presentation, the participant will be able to describe the conditions under which regurgitation during RSI is likely, reduce its likelihood, and successfully manage this dangerous scenario should it occur.
- You cannot predict the anatomically difficulty airway so have a plan for can’t intubate, and also for can’t intubate/can’t ventilate, every time.
- Delay RSI to optimize perfusion in physiologically frail patients requiring intubation.
- If significant regurgitation occurs in the midst of laryngoscopy, intubate the esophagus and inflate the balloon, so as to divert the emesis.
Biography: Reuben Strayer, author of emupdates.com, is an emergency physician based in New York City. His clinical areas of interest include airway management, analgesia, procedural sedation, agitation, decision-making and error. His extra-clinical areas of interest include sweeping generalizations and jalapeño peppers. He lures himself out of bed with chocolate dipped in peanut butter before heading to Maimonides Medical Center, in Brooklyn, where he is happily employed.