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Because it is an invasive and uncomfortable medical procedure, intubation is usually performed after administration of general anesthesia and a neuromuscular-blocking drug. It can, however, be performed in the awake patient with local or topical anesthesia or in an emergency without any anesthesia at all
In anaesthesia and advanced airway management, rapid sequence induction (RSI) – also referred to as rapid sequence intubation or as rapid sequence induction and intubation (RSII) or as crash induction [1] – is a special process for endotracheal intubation that is used where the patient is at a high risk of pulmonary aspiration.
Sometimes, opioid medication is administered by the patient themselves using a system called a patient controlled analgesic. [51] The patient presses a button to activate a syringe device and receive a preset dose or "bolus" of the drug, usually a strong opioid such as morphine, fentanyl, or oxycodone (e.g., one milligram of morphine). The PCA ...
Twilight anesthesia is also known as twilight sleep and allows an easy awakening and a speedy recovery time for the patient. Anesthesia is used to control pain by using medicines that reversibly block nerve conduction near the site of administration, therefore, generating a loss of sensation at the area administered.
ROTIGS is a transoral appliance that facilitates awake transoral bronchoscopic intubation, laryngoscopy, bronchoscopy, and esophagoscopy. Rotigs consists of a mouthpiece, bite block, and guidance tube. The mouthpiece and integral bite block keeps the device centered and allows a midline bronchoscopic approach to the larynx.
This class of medications helps to reduce patient movement, breathing, or ventilator dyssynchrony and allows lower insufflation pressures during laparoscopy. [3] [4] It has several indications for use in the intense care unit. It can help reduce hoarseness in voice as well as injury to the vocal cord during intubation.