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