BACKGROUND: Rapid sequence induction and intubation (RSII) is an emergency airway management technique for @entity1 with a risk of @entity358 . It involves preoxygenation, administration of predetermined doses of induction and paralytic drugs, avoidance of mask ventilation, and laryngoscopy followed by tracheal intubation and keeping cricoid pressure applied till endotracheal tube cuff be inflated. @entity26 desaturation has been seen during RSII. We assessed the incidence of @entity26 desaturation during RSII. METHODS: An institution-based observational study was conducted from @entity30183 to May 4, 2014 in our hospital. All @entity1 who were operated upon under general anesthesia with RSII during the study period were included. A checklist was prepared for data collection. RESULTS: A total of 153 @entity1 were included in this study with a response rate of 91.6%. Appropriate drugs for RSII, equipments for RSII, equipments for difficult intubation, suction machine with a catheter, a monitor and an @entity26 backup such as ambu bag were not prepared for 41 (26.8%), 50 (32.7%), 51 (33.3%), 38 (24.8%) and 25 (16.3%) @entity1 respectively. Cricoid pressure was not applied at all for 17 (11.1%) @entity1 and 53 (34.6%) @entity1 were ventilated after induction of anesthesia but before intubation and endotracheal cuff inflation. A total of 55 (35.9%) @entity1 desaturated during RSII (SPO2<95%). The minimum, maximum and mean @entity26 desaturations were 26%, 94% and 70.9% respectively. The @entity26 desaturation was in the range of <50%, 50%-64%, 65%-74%, 75%-84%, 85%-89 % and 90%-94% for 6 (3.9%), 7 (4.6%), 5 (3.3%), 10 (6.5%), 13 (8.5%) and 14 (9.2%) @entity1 respectively. CONCLUSION: The incidence of @entity26 desaturation during RSII was high in our hospital. Preoperative @entity1 optimization and training about the techniques of RSII should be emphasized.

The incidence of XXXX desaturation during rapid sequence induction and intubation.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity26 :: ('MESH:D010100', 'Chemical') :: ['oxygen', 'Oxygen'] @entity358 :: ('MESH:D008171', 'Disease') :: ['pulmonary aspiration'] @entity30183 :: ('115123', 'Gene') :: ['March 3']
@entity26 :: (MESH:D010100,Chemical) :: ['oxygen']
