Indian Journal of Anaesthesia

CASE REPORT
Year
: 2018  |  Volume : 62  |  Issue : 4  |  Page : 310--313

Ultra-modified rapid sequence induction with transnasal humidified rapid insufflation ventilatory exchange: Challenging convention


Ketan Sakharam Kulkarni1, Nandini Dave1, Shriyam Saran2, Madhu Garasia1, Sandesh Parelkar3 
1 Department of Anesthesiology, Seth GS Medical College and KEM Hospital, Islampur, Dist-Sangli, India
2 Freelance Anaesthesiologist, Islampur, Dist-Sangli, India
3 Department of Paediatric Surgery, Seth GS Medical College and KEM Hospital, Parel, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Ketan Sakharam Kulkarni
Near Janata High-School Mahadeonagar, Islampur, Sangli - 415 409, Maharashtra
India

During positive pressure ventilation, gastric inflation and subsequent pulmonary aspiration can occur. Rapid sequence induction (RSI) technique is an age-old formula to prevent this. We adopted a novel approach of RSI for patients with high risk of aspiration and evaluated it further in patients undergoing laparoscopic surgeries. We believe that, in patients with risk of gastric insufflation and pulmonary aspiration, transnasal humidified rapid-insufflation ventilatory exchange can be useful in facilitating pre- and apnoeic oxygenation till tracheal isolation is achieved.


How to cite this article:
Kulkarni KS, Dave N, Saran S, Garasia M, Parelkar S. Ultra-modified rapid sequence induction with transnasal humidified rapid insufflation ventilatory exchange: Challenging convention.Indian J Anaesth 2018;62:310-313


How to cite this URL:
Kulkarni KS, Dave N, Saran S, Garasia M, Parelkar S. Ultra-modified rapid sequence induction with transnasal humidified rapid insufflation ventilatory exchange: Challenging convention. Indian J Anaesth [serial online] 2018 [cited 2020 Jul 5 ];62:310-313
Available from: http://www.ijaweb.org/article.asp?issn=0019-5049;year=2018;volume=62;issue=4;spage=310;epage=313;aulast=Kulkarni;type=0