Abstract
Introduction: Induction of anaesthesia in non-fasting emergency patients is associated with a high risk of aspiration. It may severely damage lung tissue, lead to oxygenation disturbances, and even cause an acute respiratory distress syndrome, known as Mendelson's syndrome. 1 Mendelson C.L. Am J Obstet Gynecol. 1946; 52: 191-205 Abstract Full Text PDF PubMed Scopus (900) Google Scholar To prevent gastric aspiration, Rapid Sequence Induction (RSI) is the accepted standard technique used for induction of anaesthesia. However, RSI itself is not standardized and may include different drugs and procedures (head-up-position, head-down-position, cricoid pressure). 2 Baird C.R. et al. Emerg Med J. 2009; 26: 576-579 Crossref PubMed Scopus (31) Google Scholar , 3 Jensen A.G. et al. Acta Anaesthesiol Scand. 2010; 54: 922-950 Crossref PubMed Scopus (91) Google Scholar The aim of this study was to evaluate the current situation of national recommendations on RSI in Europe.
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