Rapid Sequence Intubation (RSI)
Source: general framework of anaesthesia/emergency practice · Last reviewed: Jul 2026
1
7 P's
Preparation of equipment & drugs.
2
Preoxygenation (100% O₂ for 3–5 min or 8 deep breaths).
3
Pretreatment when specific indications apply.
4
Paralysis + induction given simultaneously.
5
Optimal position for laryngoscopy.
6
Confirm tube placement — capnography mandatory, not auscultation alone.
7
Post-intubation care.
Drug Choices (full doses in Drug & Fluid menu)
| Category | Choice |
|---|---|
| Induction — stable | Propofol |
| Induction — hypotension/shock risk | Etomidate or ketamine |
| Neuromuscular blocker | Succinylcholine or rocuronium |
If Intubation Fails
Enter the Difficult Airway Algorithm.
Specific doses depend on patient condition (haemodynamics, comorbidities) and local hospital protocol.