Rapid sequence induction in the Czech Republic 2016: Survey
Authors:
J. Klučka 1; P. Štourač 1; I. Křikava 1; R. Štoudek 1; M. Ťoukálková 1; P. Michálek 2,3; Černý V. 4–7; Studijní Skupina Rsi V Čr 2016
Authors place of work:
Klinika dětské anesteziologie a resuscitace, Fakultní nemocnice Brno, Lékařská fakulta, Masarykova
Univerzita
1; Klinika anesteziologie, resuscitace a intenzivní medicíny, 1. lékařská fakulta Univerzity Karlovy a Všeobecná
fakultní nemocnice v Praze
2; Department of Anaesthetics, Antrim Area Hospital, Antrim, Spojené království Velké Británie a Severního Irska
3; Klinika anesteziologie, resuscitace a intenzivní medicíny, Lékařská fakulta v Hradci Králové, Univerzita Karlova
4; Klinika anesteziologie, perioperační a intenzivní medicíny, Univerzita J. E. Purkyně v Ústí nad Labem
Masarykova nemocnice v Ústí nad Labem, Institut postgraduálního vzdělávání ve zdravotnictví
5; Centrum pro výzkum a vývoj, Fakultní nemocnice Hradec Králové
6; Dept. of Anesthesia, Pain Management and Perioperative Medicine, Dalhousie University, Halifax, Kanada a studijní skupina RSI v ČR
7
Published in the journal:
Anest. intenziv. Med., 28, 2017, č. 4, s. 232-239
Category:
Anaesthesiology - Original Paper
Summary
Objective:
Rapid sequence induction (RSI) is a set of clinical techniques and precautions aimed at minimizing the risk of aspiration of gastric contents in at-risk patients. RSI is a part of everyday anaesthetic clinical practice. Due to the lack of national and international guidelines the actual RSI varies in clinical practice. The aim of the survey was to evaluate the variability of RSI based on four model clinical scenarios (adult patient with acute abdomen, paediatric patient with acute abdomen, parturient scheduled for elective caesarean section and geriatric obese patient with hiatus hernia).
Design:
Survey (electronic form).
Materials and methods:
The survey was sent to the Czech Society of Anaesthesiology and Intensive Care Medicine members and to the 2016 AKUTNE.CZ conference attendees.
Results:
Total 164 completed questionnaires were returned (response rate 12.5%). The results indicated high variability in the indications and technique of RSI in clinical practice, both in trainees and qualified anaesthetists.
Conclusion:
The results highlighted urgent need for a national RSI guidelines formulation for specific clinical scenarios (adult, child, parturient). Formulation of evidence-based guidelines and RSI standardization may positively influence patient safety in daily anaesthetic practice.
KEYWORDS:
rapid sequence induction – RSI – survey
Zdroje
1. Lossius HM, Roislien J, Lockey DJ. Patient safety in prehospital emergency tracheal intubation: a comprehensive meta-analysis of the intubation success rates of EMS providers. Crit Care. 2012;16:24.
2. El-Orbany M, Connolly LA. Rapid sequence induction and intubation: current Controversy. Anesth Analg. 2010;110:1318–1325.
3. Sajayan A, Wicker J, Ungureanu N, Mendonca C, Kimani PK. Current practice of rapid sequence induction of anaesthesia in the UK – a national survey. [online] Br J Anaesth. 2016;117(Suppl 1):69–74.
4. Stept WJ, Safar P. Rapid induction/intubation for prevention of gastric-content aspiration. Anesth Analg. 1970;49:633–636.
5. Suresh MS, Munnur U, Wali A. The patient with a fullstomach. In: Hagberg CA, ed. Benumof’s Airway Management: Principles and Practice. 2nd ed. Philadelphia, PA: Mosby, 2007:764–766.
6. Thwaites AJ, Rice CP, Smith I. Rapid sequence induction: anquestionnaire survey of its routine conduct and continued management during a failed intubation. Anaesthesia. 1999; 54:372–392.
7. Morris J, Cook TM. Rapid sequence induction: a national survey of practice. Anaesthesia. 2001;56:1090–1115.
8. Koerber JP, Roberts GEW, Whitaker R, Thorpe CM. Variation in rapid sequence induction techniques: current practice in Wales. Anaesthesia. 2009;64:54–9.
9. Wetsch WA, Hinkelbein J. Current national recommendations on rapid sequence induction in Europe. How standardised is the ‘standard of care’? Eur J Anaesthesiol. 2014;31:443–444.
10. Engelhardt T. Rapid sequence induction has no use in pediatric anesthesia. Pediatric Anesthesia. 2015;201:5–8.
11. Langeron O, Birenbaum A, Le Saché F, Raux M. Airway management in obese patient. Minerva Anestesiol. 2014;80:382–392.
12. Lane S, Saunders D, Schofield A, Padmanabhan R, Hildreth A, Laws D. A prospective, randomised controlled trial comparing the efficacy of pre-oxygenation in the 20 degrees head-up vs supine position. Anaesthesia. 2005;60:1064–1067.
13. Vanner RG, Asai T. Safe use of cricoid pressure. Anaesthesia. 1999;54:1–3.
14. Meek T, Gittins N, Duggan JE. Cricoid pressure: knowledge and performance amongst anaesthetic assistants. Anaesthesia. 1999;54:59–62.
15. Stourac P, Blaha J, Klozova R, Noskova P, Seidlova D, Brozova L, Jarkovsky J. Anesthesia for Cesarean Delivery in the Czech Republic: A 2011 National Survey. Anesth Analg. 2015;120:1303–1308.
16. Schmidt J, Strauß JM, Becke K, Giest J, Schmitz B. Handlungsempfehlung zur Rapid-Sequence-Induction im Kindesalter. Anast Intensivmed. 2007;48:88–93.
17. Zielińska M, Bartkowska-Śniatkowska A, Mierzewska-Schmidt M, Cettler M, Kobylarz, K, Rawicz M, Piotrowski A. The consensus statement of the Paediatric Section of the Polish Society of Anaesthesiology and Intensive Therapy on general anaesthesia in children over 3 years of age. Part I — general guidelines. Anaesthesiology Intensive Therapy. 2016;48:71–78.
18. Brossy MJ, James MF, Janicki PK. Haemodynamic and catecholamine changes after induction of anaesthesia with either thiopentone or propofol with suxamethonium. Br J Anaesth. 1994;72 596–598.
19. Lee C, Jahr JS, Candiotti KA, Warriner B, Zornow MH, Naguib M. Reversal of profound neuromuscular block by sugammadex administered three minutes after rocuronium: a comparsion with spontaneous recovery from succinylcholine. Anesthesiology. 2009;110:1020–1025.
20. Eich C, Timmermann A, Russo SG et al. A controlled rapid-sequence induction technique for infants may reduce unsafe actions and stress. Acta Anaesthesiol Scand. 2009;53:1167–1172.
21. Neuhaus D, Schmitz A, Gerber A, Weiss M. Controlled rapid sequence induction and intubation – an analysis of 1001 children. PaediatricAnaesthesia. 2013;23:734–740.
22. Ehrenfeld JM, Cassedy EA, Forbes VE, Mercaldo ND, Sandberg WS. Modified rapid sequence induction and intubation: a survey of United States currentpractice. Anesth Analg. 2012;115:95–101.
23. Shi F, Xiao Y, Xiong W, Zhou Q, Huang X. Cuffed versus uncuffed endotracheal tubes in children: a metaanalysis. J Anesth. 2016;30:3–11.
24. Newth CJ, Rachman B, Patel N, Hammer J. The use of cuffed versus uncuffed endotracheal tubes in pediatric intensive care. Journal of Pediatrics. 2004;144:333–337.
25. Černá Pařízková R, Seidlová D, Černý V. Postoj k podávání transfuzních přípravků u svědků Jehovových – dotazníková studie. Anest intenziv Med. 2015;26:263–269.
Štítky
Anaesthesiology, Resuscitation and Inten Intensive Care MedicineČlánok vyšiel v časopise
Anaesthesiology and Intensive Care Medicine
2017 Číslo 4
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