Anaes Vivas · Aspiration & regurgitation
Clinical viva — the modified RSI decision-making
A clinical viva on the modified RSI — the indications (the rapid-desaturation risk — the obesity, the critical illness, the paediatric, the pregnancy); the components (the gentle mask ventilation, the apnoeic oxygenation, the rocuronium-sugammadex, the modified cricoid); and the individualised decision.
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ANZCAFRCAABAEDAIC
Prompt
A junior colleague asks when to use the modified RSI versus the classic, and how to decide. Walk them through the decision.
Stimulus
A junior colleague asks: "When do you use the modified RSI versus the classic, and how do you decide?" Walk them through the decision.
References3ShowHide
- [1]Sorbello M, et al. Pharmacological approach to rapid sequence induction: a contemporary review. Curr Opin Anaesthesiol, 2025.PMID 40493782
- [2]Lam ND, et al. High-flow nasal oxygen versus face-mask ventilation for rapid sequence induction in non-elective surgical patients: a randomized controlled trial. BMC Anesthesiol, 2026.PMID 41620676
- [41620677]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.