• Indian J Anaesth · Apr 2018

    Ultra-modified rapid sequence induction with transnasal humidified rapid insufflation ventilatory exchange: Challenging convention.

    • Ketan Sakharam Kulkarni, Nandini Dave, Shriyam Saran, Madhu Garasia, and Sandesh Parelkar.
    • Department of Anesthesiology, Seth GS Medical College and KEM Hospital, Islampur, Dist-Sangli, India.
    • Indian J Anaesth. 2018 Apr 1; 62 (4): 310-313.

    AbstractDuring positive pressure ventilation, gastric inflation and subsequent pulmonary aspiration can occur. Rapid sequence induction (RSI) technique is an age-old formula to prevent this. We adopted a novel approach of RSI for patients with high risk of aspiration and evaluated it further in patients undergoing laparoscopic surgeries. We believe that, in patients with risk of gastric insufflation and pulmonary aspiration, transnasal humidified rapid-insufflation ventilatory exchange can be useful in facilitating pre- and apnoeic oxygenation till tracheal isolation is achieved.

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