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One important difference between RSI and routine tracheal intubation is that the practitioner does not manually assist the ventilation of the lungs after the onset of general anesthesia and cessation of breathing, until the trachea has been intubated and the cuff has been inflated.
Treatment varies depending on the cause of respiratory arrest. In many cases, it is necessary to establish an alternate airway and providing artificial ventilation that can include modes of mechanical ventilation. There are many ways to provide an airway and to deliver breathing support. The list below includes several options.
Intubation with a cuffed tube is thought to provide the best protection against aspiration. Downside of tracheal tubes is the pain and coughing that follows. Therefore, unless a patient is unconscious or anesthetized, sedative drugs are usually given to provide tolerance of the tube.
The patient's natural breathing may be inadequate during the procedure and intervention is often necessary to protect the airway. [ 5 ] Various drugs are used to achieve unconsciousness , amnesia , analgesia , loss of reflexes of the autonomic nervous system , and in some cases paralysis of skeletal muscles .
Normal breathing rates are between 12 and 20 breaths per minute, [14] and if a patient is breathing below the minimum rate, then in current ILCOR basic life support protocols, CPR should be considered, although professional rescuers may have their own protocols to follow, such as artificial respiration.
Wen: People may experience such difficulty breathing that they need additional respiratory support, including intubation where a machine helps to breathe for the patient and the person has to be ...
Cardiopulmonary resuscitation (CPR) is an emergency procedure consisting of chest compressions often combined with artificial ventilation, or mouth-to-mouth in an effort to manually preserve intact brain function until further measures are taken to restore spontaneous blood circulation and breathing in a person who is in cardiac arrest.
Respirations characterized by tachypnea and deep breathing to compensate for metabolic acidosis, such as in DKA. [11] [12] This pattern of breathing coincides with respiratory failure. Intubation and mechanical ventilation are necessary. [12]