Delayed sequence intubation: is it ready for prime time?

CJEM. 2017 Jan;19(1):68-70. doi: 10.1017/cem.2016.13. Epub 2016 Feb 25.

Abstract

Clinical question Does delayed sequence intubation (DSI) improve preoxygenation and safety when intubating otherwise uncooperative patients? Article chosen Weingart SD, Trueger S, Wong N, et al. Delayed sequence intubation: a prospective observational study. Ann Emerg Med 2015;65(4):349-55. doi:10.1016/j.annemergmed.2014.09.025 OBJECTIVE: To investigate whether the administration of ketamine 3 minutes prior to the administration of a muscle relaxant allows for optimal preoxygenation in uncooperative patients undergoing intubation.

Keywords: delayed sequence intubation; intubation; ketamine; sedation.

Publication types

  • Observational Study

MeSH terms

  • Adult
  • Anesthetics, Dissociative / administration & dosage
  • Cohort Studies
  • Conscious Sedation / methods
  • Critical Care / methods
  • Drug Administration Schedule
  • Female
  • Humans
  • Intubation, Intratracheal / methods*
  • Ketamine / administration & dosage*
  • Male
  • Muscle Relaxants, Central / administration & dosage*
  • Oxygen Consumption / physiology*
  • Patient Compliance
  • Prospective Studies
  • Time Factors
  • Treatment Outcome

Substances

  • Anesthetics, Dissociative
  • Muscle Relaxants, Central
  • Ketamine