Saturday, May 11, 2019
Rapid Sequence Induction and Intubation. Incidence Reflection Essay
Rapid sequence Induction and Intubation. Incidence Reflection - Essay showcaseIn this reflection I have ensured that I maintain confidentiality in line with the Health paid Council code of Conduct that demands the observance of the same, under code number two that states You moldiness respect the confidentiality of serve well users. It informs me that I must treat information about service users as confidential and that I must not release any personal or confidential information to anyone not entitled to it (HPC, 2008, pp. 8-9). and so all names of the people involved in the process are treated as anon. and I will different letters to refer to each one of them.I decided to favor this area for my reflection basing on a few reasons. First is that as a student ODP doing my clinical placement, it was my first time to come across such a major incident and therefore it make me curious. Secondly is that, I realized that this procedure is applied to all EG operations, making it commonl y apply. As a student on placement I realize the need to familiarize myself with the incident and procedures of operation as it is a common phenomenon in our daily lives. The last point is that, I engaged myself in long research on this topic thereby developing skills and knowledge in this particular area. Rapid Sequence Induction Intubation (RSII) Rapid Sequence Induction and Intubation (RSII) is a medical procedure involving the fasting induction of general anaesthesia and following intubation of the trachea. It is generally used in an emergency (EG) office or for patients who have an increased risk of aspirating gastric contents into lungs (EL-Orbany & Connolly, 2010). The main objective of this technique is to denigrate the interval time between loss of protective airway reflexes and tracheal intubation with a cuffed endotracheal thermionic tube (ETT). If the intubation is not attained within a maximum 2 minutes, the patient could suffer positive morbidity or even death fr om hypoxia (lack of oxygen in body tissue). Therefore airway anxiety is the most important skill for an emergency practitioner. Failure to secure an adequate airway can private road disability (EL-Orbany & Connolly, 2010). The decision to intubate the patient is sometimes very difficult to reach. The difficulty emanates because the situation requires soaring clinical experience so as to recognise the signs of an imminent respiratory failure. The concept of RSI was gradually evolved after introduction of Suxamethonium chloride/succinylcholine (paralytic drug) in 1951, and the description of cricoid pressure (CP) in 1961 (EL-Orbany & Connolly, 2010). The procedure include oxygen administration, rapid stab of a predetermined dose of thiopental/barbiturate (group of drugs), immediately followed by succinylcholine, application of CP and tracheal intubation. It seemed from these components that the term RSI which is used in both anaesthesia literature and emergency medicine are both i nadequate. Because, the technique includes both anaesthesia induction and tracheal intubation, therefore the term RSII is more accurate and descriptive of the technique (EL-Orbany & Connolly, 2010, pp. 18-25) pensive models My essay will employ the Rolfe et al. (2001) model of reflection to reflect on what I learnt and the experiences I went through. pensive practice is an approach to learning and practice development that is patient centred and which acknowledges the untidiness and confusion of the practice environment
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