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@article{1677639,
author = {Klučka, Jozef and Kosinová, Martina and Zacharowski, Kai and De Hert, Stefan and Kratochvíl, Milan and Ťoukálková, Michaela and Štoudek, Roman and Zelinková, Hana and Štourač, Petr},
article_location = {Philadelphia},
article_number = {6},
doi = {http://dx.doi.org/10.1097/EJA.0000000000001194},
keywords = {Rapid sequence induction},
language = {eng},
issn = {0265-0215},
journal = {European Journal of Anaesthesiology},
title = {Rapid sequence induction: An international survey},
url = {https://journals.lww.com/ejanaesthesiology/fulltext/2020/06000/rapid_sequence_induction__an_international_survey.2.aspx},
volume = {37},
year = {2020}
}
TY - JOUR
ID - 1677639
AU - Klučka, Jozef - Kosinová, Martina - Zacharowski, Kai - De Hert, Stefan - Kratochvíl, Milan - Ťoukálková, Michaela - Štoudek, Roman - Zelinková, Hana - Štourač, Petr
PY - 2020
TI - Rapid sequence induction: An international survey
JF - European Journal of Anaesthesiology
VL - 37
IS - 6
SP - 435-442
EP - 435-442
PB - Lippincott Williams & Wilkins
SN - 02650215
KW - Rapid sequence induction
UR - https://journals.lww.com/ejanaesthesiology/fulltext/2020/06000/rapid_sequence_induction__an_international_survey.2.aspx
L2 - https://journals.lww.com/ejanaesthesiology/fulltext/2020/06000/rapid_sequence_induction__an_international_survey.2.aspx
N2 - BACKGROUND Rapid sequence induction (RSI) is a standard procedure, which should be implemented in all patients with a risk of aspiration/regurgitation during anaesthesia induction. OBJECTIVE The primary aim was to evaluate clinical practice in RSI, both in adult and paediatric populations. DESIGN Online survey. SETTINGS A total of 56 countries. PARTICIPANTS Members of the European Society of Anaesthesiology. MAIN OUTCOME MEASURES The aim was to identify and describe the actual clinical practice of RSI related to general anaesthesia. RESULTS From the 1921 respondents, 76.5% (n=1469) were qualified anaesthesiologists. When anaesthetising adults, the majority (61.7%, n=1081) of the respondents preoxygenated patients with 100% O-2 for 3 min and 65.9% (n=1155) administered opioids during RSI. The Sellick manoeuvre was used by 38.5% (n=675) and was not used by 37.4%(n=656) of respondents. First-linemedications for a haemodynamically stable adult patient were propofol (90.6%, n=1571) and suxamethonium (56.0%, n=932). Manual ventilation (inspiratory pressure<12cmH(2)O) was used in 35.5% (n=622) of respondents. In the majority of paediatric patients, 3 min of preoxygenation (56.6%, n=817) and opioids (54.9%, n=797) were administered. The Sellick manoeuvre and manual ventilation (inspiratory pressure <12cmH(2)O) in children were used by 23.5% (n=340) and 35.9% (n=517) of respondents, respectively. First-line induction drugs for a haemodynamically stable child were propofol (82.8%, n=1153) and rocuronium (54.7%, n=741). CONCLUSION We found significant heterogeneity in the daily clinical practice of RSI. For patient safety, our findings emphasise the need for international RSI guidelines.
ER -
KLUČKA, Jozef, Martina KOSINOVÁ, Kai ZACHAROWSKI, Stefan DE HERT, Milan KRATOCHVÍL, Michaela ŤOUKÁLKOVÁ, Roman ŠTOUDEK, Hana ZELINKOVÁ and Petr ŠTOURAČ. Rapid sequence induction: An international survey. \textit{European Journal of Anaesthesiology}. Philadelphia: Lippincott Williams \&{} Wilkins, 2020, vol.~37, No~6, p.~435-442. ISSN~0265-0215. Available from: https://dx.doi.org/10.1097/EJA.0000000000001194.
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