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Wednesday, April 1, 2020

Procedure Note - Rapid Sequence Intubation (RSI)



Rapid Sequence Intubation (RSI) Note:

Consent was obtained from [name/relationship] prior to the procedure.  Indications, risks, and benefits were explained to [name/relationship].  [Consent was not obtained due to emergent nature of the procedure.]

A timeout procedure was performed and back-up airway adjuncts were situated at the bedside (video laryngoscopy, bougie, supraglottic airways, and a surgical scalpel for cricothyrotomy).  A decision was made to perform rapid sequence intubation (RSI).  

The patient was preoxygenated using a [BVM connected to oxygen/non-rebreather mask].  The patient was pre-treated with [medication].  The patient was induced with [##] mg of [medication].  The patient was subsequently paralyzed with [##] mg of [medication].  The patient was intubated using [direct/video] laryngoscopy and a size [##] cuffed endotracheal tube with stylet.  The patient was intubated on the [first/second/etc.] attempt. 

Appropriate endotracheal tube position was confirmed by direct visualization of vocal cord passage, condensation in the tube, [capnography/colometric COindicator], and symmetric breath sounds without epigastric sounds.  The tube was secured at [##] cm at the [lips/teeth]. 

A post-intubation chest x-ray was obtained, and tube was [noted to be in the appropriate position/withdrawn ## cm to appropriate position].

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