Full list of supporting organisations: www.universalairway.org/puoi#puoi/su...

But do patients at risk of aspiration need “a tube stuck in quickly”? It’s unlikely there’s actually a proportional incr in asp risk the longer the airway is unprotected. I’d suggest that regurg/asp mainly occurs w change in m tone at induction or w instrumentation while inadeq anaesthetised/relaxed

Aren’t there already things we would do when extubating a patient at incr risk of aspiration?

Rather than being ‘rapid’ they relate to ensuring return of airway reflexes prior to removing tube (awake), potentially decreasing risk of regurg (gastric suction) & aspiration (lat position).

But what are the elements of intubation technique you’d encourage to reduce aspiration risk & do any of them relate to the components of RSI?

I’d suggest that it’s more important that a patient is deeply anaesthetised/paralysed before the airway is instrumented than anything relating to rapidity.

Thio sux is the only classic (but I've never seen it done one, hence all being mRSI).

I think otherwise it ought to be fast acting hypnotic and 1/kg or more of sux or roc. Opioids seem reasonable but I'd be worried about that being your sole "relaxant"

I love www.universalairway.org/rsi above

For exactly this reason the @universalairway.org guidelines have removed the term “modified RSI” in favour of a defined spectrum of variations that constitute RSI. Anything outside this is not RSI.

www.universalairway.org/rsi

But I'm sure you'd agree that's clearly outdated & something the majority of clinicians would disagree with.

In the @universalairway.org guidelines we've defined RSI based on a spectrum of practice that adheres to specific principles.

www.universalairway.org/rsi