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

Jürgen Knapp, Philipp Venetz & Urs Pietsch

abstract 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.
   
citation Knapp J, Venetz P, Pietsch U. [In-cabin rapid sequence induction : Experience from alpine air rescue on reduction of the prehospital time]. Anaesthesist 2021;.
   
type journal paper/review (Translation2::getLang(): unknown language "". Use Translation2::setLang() to set a default language.)
date of publishing 08-03-2021
journal title Anaesthesist
ISSN electronic 1432-055X
PubMed 33683378
DOI 10.1007/s00101-021-00933-8