Dr. Solewski of pemcincinnati.com gives us an outstanding Podcast interview with Ben Kerrey about his work in Rapid Sequence Intubation [This link is to the show notes where you can play the podcast].
One thing to remember in pediatric RSI just as in adult RSI – patients who are in compensated or decompensated shock need to have the shock treated prior to RSI (with fluids and, if necessary pulse dose pressors) lest the RSI meds and positive pressure ventilation lead to cardiovascular collapse. For information on pediatric pulse dose pressors, see Another Great YouTube Video from Dr. Mellick–Pediatric Pulse Dose Pressor Administration Posted on October 2, 2014 by Tom Wade MD.
The show notes also contain direct links to the following resources:
(1) A Modern and Practical Review of Rapid Sequence Intubation in Pediatric Emergencies [Full Text PDF]
The following is from Reference (1) above:
(2) Rapid Sequence Intubation for Pediatric Emergency Patients: Higher Frequency of Failed Attempts and Adverse Effects Found by Video Review [Full Text PDF]
(3) A Is for Airway: A Pediatric Emergency Department Challenge [Response to Reference (2) from Steve Green] [Full Text PDF]
(4) The Spectrum and Frequency of Critical Procedures Performed in a Pediatric Emergency Department: Implications of a Provider-Level View [Full Text PDF]
(5) Reducing the incidence of oxyhaemoglobin desaturation during rapid sequence intubation in a paediatric emergency department [Full Text PDF]
(6) Preoxygenation and Prevention of Desaturation During Emergency Airway Management [Full Text PDF]
