Abstract

POVEDA JARAMILLO, Ricardo; DUENAS CASTELL, Carmelo  and  ORTIZ RUIZ, Guillermo. Rapid sequence intubation in the intensive care unit. Rev. colomb. anestesiol. [online]. 2013, vol.41, n.1, pp.24-33. ISSN 0120-3347.  https://doi.org/10.1016/j.rca.2012.07.005.

Introduction: The Intensive Care Unit (ICU) physician should have the skill to successfully manage patients requiring airway insulation on account of their poor ventilatory condition. The purpose of this article is to review the current knowledge regarding rapid sequence intubation in the ICU patients and to summarize the procedure to maximally reduce the risks of intubating a critical patient. Methods: Theme review. An e-search of databases was performed, including PubMed, ScienceDirect, EBSCOhost, OvidSP and Scielo, without limiting the search by date, in English and Spanish. Clinical trials, meta-analysis, practicing guidelines, randomized controlled trials, reviews, case reports, classical articles, comparative studies, consensus conferences, and keynote speeches. Published articles on intubation, rapid sequence intubation and ICU intubation were included, all focusing on orotracheal intubation of the critical patient and strategies for optimization of the maneuver. Results: The search yielded 1,144 studies. The abstracts were reviewed and those referring to the key review criteria were chosen: intubation protocols for ICU patients. Fifty monographs met the selection criteria. A summarized presentation of the results is made and an approach to a modified rapid sequence intubation is suggested, based on the review accomplished.

Keywords : Intubation; Intratracheal intubation; Intensive care unit; Anesthesia.

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