[In-cabin rapid sequence induction: Experience from alpine air rescue on reduction of the prehospital time].

Knapp, Jürgen; Venetz, Philipp; Pietsch, Urs (2021). [In-cabin rapid sequence induction: Experience from alpine air rescue on reduction of the prehospital time]. Der Anaesthesist, 70(7), pp. 609-613. Springer-Verlag 10.1007/s00101-021-00933-8

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The survival of the severely injured is dependent on the rapid and efficient prehospital treatment. Despite all efforts over the last decades and despite an improved network of rescue helicopters, the time delay between the accident event and admission to the trauma room could not be reduced. A certain proportion of the severely injured need induction of anesthesia even before arrival in hospital (typically as rapid sequence induction, RSI). Due to the medical and technical progress in video laryngoscopy as well as in the means of air rescue used in German-speaking countries, under certain conditions the possibility to carry out induction of anesthesia and airway management in the cabin of the rescue helicopter, i.e. during the transportation, seems to be a possible option to reduce the prehospital time. The aspects dealt with in this article are elementary for a safe execution. A procedure that has been tried and trusted for some time is presented as an example; however, the in-cabin RSI should only be carried out by pretrained teams using a clear standard operating procedure.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic and Policlinic for Anaesthesiology and Pain Therapy

UniBE Contributor:

Knapp, Jürgen

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1432-055X

Publisher:

Springer-Verlag

Language:

German

Submitter:

Jeannie Wurz

Date Deposited:

21 Jun 2021 09:37

Last Modified:

09 Jul 2021 01:32

Publisher DOI:

10.1007/s00101-021-00933-8

PubMed ID:

33683378

Uncontrolled Keywords:

Airway management Anesthesia Emergency helicopters Patient safety Standard operating procedure

BORIS DOI:

10.7892/boris.153641

URI:

https://boris.unibe.ch/id/eprint/153641

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