Audit on Current Practice of Rapid Sequence Induction and Intubation of Anesthesia in the University of Gondar Hospital, Northwest Ethiopia, 2018
Standards of rapid sequence induction at risk of pulmonary aspiration at Gondar University Specialized Hospital, Northwest Ethiopia, 2018.
|1||Are all available monitoring prepared|| || || |
|2||O2 supply, airway equipment, and a suction machine with suction catheter prepared and placed on the table beneath the patient’s head|| || || |
|3||Drugs like thiopentone (3–5 mg/kg) or propofol (1–3 mg/kg) or ketamine 1-2 mg/kg for hemodynamically unstable patients, suxamethonium (1-2 mg/kg) and fentanyl (1-2 μg/kg prepared)|| || || |
|4||The role of the team confirmed|| || || |
|5||Anticipated difficult airway (LMA, cricothyroidotomy kit, and oxygenation plan) prepared|| || || |
|6||Reliable intravenous cannula placed for free drug and fluid administration|| || || |
|7||Preoxygenation/denitrogenation at a minimum of 3 minutes at an oxygen concentration of 100% done.|| || || |
|8||Attempt to ventilate in using positive pressure ventilation via a face mask|| || || |
|9||All team members are ready to proceed the activity they were assigned to|| || || |
|10||Cricoid pressure applied|| || || |
|11||Intubation performed after the intubation conditions are obtained after observing fasciculation|| || || |
|12||Bougie or stylet as routine to maximize the chance of success was used|| || || |
|13||The ETT cuff inflated and the correct position of ETT checked by the chest rise and fall, tube misting, normal feeling of air flow or capnography, and releasing of cricoid pressure|| || || |
Na = not available.