Describe the types of Drugs
• Induction agent (thiopentone, fentanyl, ketamine, midazolam)
• Suxamethonium (1-2 mg/kg) is the muscle relaxant of choice.
Rapid sequence induction and orotracheal intubation:
• Pre oxygenate with 100 per cent oxygen for 3-4 minutes.
• Preload with 250-500ml colloid intravenously.
• Induction agent + suxamethonium.
• Cricoid pressure applied.
• Direct visualisation of vocal cords and tracheal intubation.
• Inflation of cuff until sealed.
• Confirmation of end-tidal CO2 and chest auscultation with manual ventilation.
• Cricoid pressure released.
• Secure tube at correct length.
• Connect patient to ventilator (see default ventilator parameters).
• Ensure adequate sedation ± muscle relaxant.
• Consider insertion of a naso/oro-gastric tube. Required by the majority of ICU patients.
• Chest X-ray.
• Confirm blood gas analysis and adjust FIO2 accordingly