Anest. intenziv. Med. 2017;28(4):232-239

Rapid sequence induction in the Czech Republic 2016: SurveyAnaesthesiology - Original Paper

J. Klučka¹, P. Štourač^1,*, I. Křikava¹, R. Štoudek¹, M. Ťoukálková¹, P. Michálek^2,3, Černý V.^4,5,6,7, Studijní skupina RSI v ČR 2016

¹ Klinika dětské anesteziologie a resuscitace, Fakultní nemocnice Brno, Lékařská fakulta, Masarykova Univerzita

² Klinika anesteziologie, resuscitace a intenzivní medicíny, 1. lékařská fakulta Univerzity Karlovy a Všeobecná fakultní nemocnice v Praze

³ Department of Anaesthetics, Antrim Area Hospital, Antrim, Spojené království Velké Británie a Severního Irska

⁴ Klinika anesteziologie, resuscitace a intenzivní medicíny, Lékařská fakulta v Hradci Králové, Univerzita Karlova

⁵ Klinika anesteziologie, perioperační a intenzivní medicíny, Univerzita J. E. Purkyně v Ústí nad Labem Masarykova nemocnice v Ústí nad Labem, Institut postgraduálního vzdělávání ve zdravotnictví

⁶ Centrum pro výzkum a vývoj, Fakultní nemocnice Hradec Králové

⁷ Dept. of Anesthesia, Pain Management and Perioperative Medicine, Dalhousie University, Halifax, Kanada a studijní skupina RSI v ČR

Objective:
Rapid sequence induction (RSI) is a set of clinical techniques and precautions aimed at minimizing the risk of aspiration of gastric contents in at-risk patients. RSI is a part of everyday anaesthetic clinical practice. Due to the lack of national and international guidelines the actual RSI varies in clinical practice. The aim of the survey was to evaluate the variability of RSI based on four model clinical scenarios (adult patient with acute abdomen, paediatric patient with acute abdomen, parturient scheduled for elective caesarean section and geriatric obese patient with hiatus hernia).

Design:
Survey (electronic form).

Materials and methods:
The survey was sent to the Czech Society of Anaesthesiology and Intensive Care Medicine members and to the 2016 AKUTNE.CZ conference attendees.

Results:
Total 164 completed questionnaires were returned (response rate 12.5%). The results indicated high variability in the indications and technique of RSI in clinical practice, both in trainees and qualified anaesthetists.

Conclusion:
The results highlighted urgent need for a national RSI guidelines formulation for specific clinical scenarios (adult, child, parturient). Formulation of evidence-based guidelines and RSI standardization may positively influence patient safety in daily anaesthetic practice.

Keywords: rapid sequence induction; RSI; survey

Received: March 8, 2017; Accepted: May 30, 2017; Published: August 1, 2017  Show citation