Jul 1, 2024 · Delayed sequence intubation (DSI) is procedural sedation, where the procedure is preoxygenation. DSI may be useful in the patient for whom rapid sequence intubation would inevitably result in significant hypoxaemia because they cannot be preoxygenated by other means

Jun 5, 2023 · Delayed sequence intubation (DSI) involves administering a dissociative dose of ketamine followed by goal-directed preoxygenation for a minimum of 3 minutes, neuromuscular blocker administration, and intubation.

Dec 3, 2021 · When paralysis is accomplished, passing an endotracheal tube is the gold-standard for airway management. A newer approach on RSI is Rapid Sequence Airway, or RSA, versus Rapid Sequence Induction/Intubation.

Rapid sequence intubation (RSI) is an airway management technique that produces inducing immediate unresponsiveness (induction agent) and muscular relaxation (neuromuscular blocking agent) and is the fastest and most effective means of controlling the emergency airway

Jan 11, 2024 · DSI for all- even if the “delay” is 5 to 10 seconds to make sure everything is perfect. Very few patients who need RSI actually need the “rapid” part of it and we would more often benefit by taking a breath ourselves and making sure we are optimized before we start the intubation attempt.

Aug 7, 2023 · Delayed sequence intubation (DSI) uses a dissociative dose of ketamine, goal-directed preoxygenation for a minimum of 3 minutes, followed by a neuromuscular blocker and ultimately intubation.

Using RSI, the average low SpO2 during intubation was 78%. With DSI it was 98%. Over 84% of all RSI intubations experienced a moderate hypoxic episode (<90%) and 85% had severe hypoxia (<70%).

Jul 30, 2024 · EMS providers should understand the key differences between Delayed Sequence Intubation (DSI) and Rapid Sequence Intubation (RSI) to determine the most appropriate approach for managing a patient's airway in critical situations.

Results: Both RSI and DSI demonstrated high intubation success rates, with 87% success in the RSI group and 82% in the DSI group (P=0.249). Complication rates were similar between the groups, with 26% in the RSI group and 20% in the DSI …

Standard RSI consists of the simultaneous administration of a sedative and a paralytic agent and the provision of no ventilations until after endotracheal intubation (1). This sequence can be broken to allow for adequate preoxygenation without risking gastric insufflation or aspiration; we call this method “delayed sequence intubation” (DSI).