Q: What is a "double set-up" rapid sequence intubation (RSI)?
Answer: Simultaneously preparing video laryngoscope and surgical airway backup
If difficult intubation is anticipated, as in severe anaphylaxis, there may not be time to call for surgical backup. Even a single failed attempt at intubation can distort the anatomy and close the vocal cords to the point where nothing can be viewed.
Keeping all equipment simultaneously ready at the bedside for emergent cricothyroidotomy/tracheostomy is prudent.
#procedures
Reference:
1. Ahmed A, Azim A. Difficult tracheal intubation in critically ill. J Intensive Care. 2018 Aug 13;6:49. doi: 10.1186/s40560-018-0318-4. PMID: 30123510; PMCID: PMC6090786.
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