Rapid sequence induction

1. Back + 30° + sniffing position
2. Monitoring: cardiac monitor, pulse oximeter, capnograph, non-invasive blood pressure
3. Pre-oxygenation 10-15L for 5'

4. Drugs: alfentanil 15µg/kg or fentanyl 2µg/kg + etomidate 0.3mg/kg or ketamine 1mg/kg + rocuronium 0.9-1.2mg/kg or succinylcholine 1mg/kg.

Warning:
Reduce doses if risk of hypotension

Hypnotics may last less than 10 minutes (Repeat dose?)

Caution:
Patient who wakes up and forces breathing with closed glottis may develop negative pressure acute pulmonary edema

1. Avoid ventilation, except if low saturation
2. Sellick?
3. Tracheal intubation (ETI) 3x; laryngeal mask (LM) 3x; crico if desaturation

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