Rapid Sequence Induction




* Cricoid pressure
Used to prevent passive regurgitation, NOT to prevent active vomitting. Maintaining cricoid pressure when the patient is trying to vomit could rupture the oesophagus, so pressure should be released if the patient appears about to vomit.

If regurgitated fluid leaks past the Cricoid pressure point, the table should be tilted head down, and suction applied.

When difficulties occur during Rapid Sequence Induction, the Difficult Airway Society  algorithm  should be followed.
** Dose
Dose: 1-2 mg/kg (ampoule = 100 mg/2ml)
Therefore: 0.02 - 0.04 ml/kg
Example: a 16kg patient needs 0.32 to 0.64 mls