Rapid sequence intubation in children — viva

Opening (must-hit)

"Rapid sequence intubation is a planned sequence in which I render a child unconscious and paralysed in rapid succession and pass an endotracheal tube without mask ventilation in between, because the child is assumed to have a full stomach. I prepare a team and equipment first, preoxygenate to the child's shorter safe apnoea time, size the tube by the age formulae, and confirm placement with exhaled carbon dioxide. I choose the induction agent to the child's haemodynamics and give atropine premedication to the youngest children. I never persist with a blind attempt if the child desaturates, and I never leave a paralysed child without sedation." ^{[1] [3] [6]}