Indications for RSI are simply those patients who cannot ventilate, oxygenate or fail to protect their aiway. Contraindications are few and relative.
RSI involves the use of an induction agent, followed immediately by a neuromuscular blocking agent to quickly create an optimal environment for intubation.
Induction agents used in rapid sequence intubation all lead to a similar endpoint which includes providing sedation and amnesia and can improve intubating conditions.
There are two neuromuscular blocking agents that have short enough onset times to be used in rapid sequence intubation and induction: succinylcholine and rocuronium.
In which of the following scenarios is succinylcholine a safe alternative to rocuronium during intubation?
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A 58-year-old male presents with shortness of breath and hoarseness following a house fire.
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