Rapid sequence intubation (RSI) is generally done in the patients requiring intubation in the emergency room. These patients are often full stomach and are at the risk of regurgitation and aspiration leading to aspiration pneumonia. The incidence of aspiration pneumonia during RSI is not known as the term “RSI” is poorly defined and the diagnosis of aspiration pneumonia is often clinical and circumstantial.
Sakles JC, Laurin EG, Rantapaa AA, Panacek EA. Airway management in the emergency department: a one-year study of 610 tracheal intubations. Ann Emerg Med 1998;31(3):325–332. DOI: 10.1016/S0196-0644(98)70342-7.
Rose DK, Cohen MM. The incidence of airway problems depends on the definition used. Can J Anaesth 1996;43(1):30–34. DOI: 10.1007/BF03015954.
Sellick BA. Cricoid pressure to control regurgitation of stomach contents during induction of anaesthesia. Lancet 1961;2(7199):404–406. DOI: 10.1016/s0140-6736(61)92485-0.
Taryle DA, Chandler JE, Good JT, Potts DE, Sahn SA. Emergency room intubations—complications and survival. Chest. 1979;75(5):541–543. DOI: 10.1378/chest.75.5.541.
Redan JA, Livingston DH, Tortella BJ, Rush BF. The value of intubating and paralysing patients with suspected head injury in the emergency department. J Trauma 1991;31(3):371–375. DOI: 10.1097/00005373-199103000-00010.
Walls RM, Brown 3rd CA, Bair AE, Pallin DJ. Emergency airway management: a multicenter report of 8937 emergency department intubations. J Emerg Med 2011;41(4):347–354. DOI: 10.1016/j.jemermed.2010.02.024.
Roshan R, Sudhakar GD, Vijay J, Mamta M, Amirtharaj J, Priya G, et al. Aspiration during rapid sequence induction—prevalence and risk factors. Indian J Crit Care Med 2021;25(2):140–145.
Bernhard M, Bax SN, Hartwig T, Yahiaoui-Doktor M, Petros S, Bercker S, et al. Airway Management in the Emergency Department (The OcEAN-Study)—a prospective single centre observational cohort study. Scand J Trauma Resusc Emerg Med 2019;27(1):20. DOI: 10.1186/s13049-019-0599-1.
Cook TM, Woodall N, Frerk C, on behalf of the Fourth National Audit Project. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 1: anaesthesia. Br J Anaesth 2011;106(5):617–631. DOI: 10.1093/bja/aer058.
Cook TM, Woodall N, Harper J, Benger J, on behalf of the Fourth National Audit Project. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 2: intensive care and emergency departments. Br J Anaesth 2011:106(5):632–642. DOI: 10.1093/bja/aer059.
Okubo M, Gibo K, Hagiwara Y, Nakayama Y, Hasegawa K, Japanese Emergency Medicine Network Investigators. The effectiveness of rapid sequence intubation (RSI) versus non-RSI in emergency department: an analysis of multicenter prospective observational study. Int J Emerg Med 2017;10(1):1. DOI: 10.1186/s12245-017-0129-8.
Metheny NA, Chang Y-H, Ye JS, Edwards SJ, Defer J, Dahms TE, et al. Pepsin as a marker for pulmonary aspiration. Am J Crit Care 2002;11(2): 150–154.
Suzuki T, Saitou M, Utano Y, Utano K, Niitsuma K. Bronchoalveolar lavage amylase levels can be a biomarker of aspiration pneumonia. European Respiratory 2020;56(64):2354. DOI: 10.1183/13993003.congress-2020.2354.