Rapid sequence induction: An international survey

J 2020

Rapid sequence induction: An international survey

KLUČKA, Jozef, Martina KOSINOVÁ, Kai ZACHAROWSKI, Stefan DE HERT, Milan KRATOCHVÍL et. al.

Basic information

Original name

Rapid sequence induction: An international survey

Authors

KLUČKA, Jozef (703 Slovakia, belonging to the institution), Martina KOSINOVÁ (203 Czech Republic, belonging to the institution), Kai ZACHAROWSKI (276 Germany), Stefan DE HERT (56 Belgium), Milan KRATOCHVÍL (703 Slovakia, belonging to the institution), Michaela ŤOUKÁLKOVÁ (203 Czech Republic, belonging to the institution), Roman ŠTOUDEK (203 Czech Republic, belonging to the institution), Hana ZELINKOVÁ (203 Czech Republic, belonging to the institution) and Petr ŠTOURAČ (203 Czech Republic, guarantor, belonging to the institution)

Edition

European Journal of Anaesthesiology, Philadelphia, Lippincott Williams & Wilkins, 2020, 0265-0215

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30223 Anaesthesiology

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 4.330

RIV identification code

RIV/00216224:14110/20:00116346

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1097/EJA.0000000000001194

UT WoS

000561380000002

Keywords in English

Rapid sequence induction

Abstract

V originále

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.

Links

MUNI/A/0943/2019, interní kód MU

Name: Protektivní plicní ventilace během celkové anestezie a intenzivní péče u pediatrických pacientů: retrospektivní studie (Acronym: TIVAC)

Investor: Masaryk University, Category A

MUNI/A/1111/2018, interní kód MU

Name: Videolaryngoskopie vs. přímá laryngoskopie vliv na efektivitu intubace: randomizovaná kontrolovaná studie (Acronym: VidoeLarynx)

Investor: Masaryk University, Category A

ROZV/28/LF8/2020, interní kód MU

Name: Optimalizace periopererační péče u pediatrických pacientů

Investor: Ministry of Education, Youth and Sports of the CR, Internal development projects

ROZV/28/LF9/2020, interní kód MU

Name: Optimalizace periopererační péče u pediatrických pacientů, Časná identifikace sepse, možnosti monitorace a optimalizace hemodynamiky u kriticky nemocného pediatrického pacienta

Investor: Ministry of Education, Youth and Sports of the CR, Internal development projects

Citovat

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. 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.

@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.

Detailed Information on Publication Record