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{
    "pk": 18099,
    "title": "Rapid Sequence Intubation from the Patient’s Perspective",
    "subtitle": null,
    "abstract": "Introduction: This study assesses the efficacy of the rapid sequence intubation (RSI) protocol in preventing patient recollection of resuscitative events and patient discomfort during intubation, as subjectively determined by the patient.\n\n\nMethods: This was a prospective study of all patients intubated at Los Angeles County, University of Southern California Medical Center from July 2009 to January 2010. Extubated patients were interviewed using a standard questionnaire and data collection tool.\n\n\nResults: Of 211 airway codes, 201 were excluded due to death before extubation, transfer, or persistent vegetative state, leaving 10 awake, alert subjects who were interviewed regarding their recollection of the RSI and resuscitation. Five had recollection of the event. Most patients recalling RSI\n\n\ndescribed the event as painful or uncomfortable despite receiving the recommended doses of sedation/\n\n\ninduction agents.\n\n\nConclusion: In this cohort of 10 patients intubated using typical agents, 5 remembered some details of their intubation and 2 described pain that was 10/10 on a verbal pain scale. Further work is indicated to ensure that the medications used during this procedure provide the appropriate sedation and amnesia.\n\n\n[West J Emerg Med. 2011;12(4):365–367.]",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution-NonCommercial  4.0",
        "short_name": "CC BY-NC 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by-nc/4.0"
    },
    "keywords": [
        {
            "word": "RSI"
        },
        {
            "word": "intubation"
        },
        {
            "word": "awareness"
        },
        {
            "word": "Allied Health Diagnostic, Intervention, and Treatment Professions"
        },
        {
            "word": "Emergency Medicine"
        }
    ],
    "section": "Airway",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/3wg7h4rg",
    "frozenauthors": [
        {
            "first_name": "Deborah",
            "middle_name": "",
            "last_name": "Kimball",
            "name_suffix": "",
            "institution": "Keck School of Medicine of the University of Southern California, Los Angeles, California",
            "department": "None"
        },
        {
            "first_name": "Ramon",
            "middle_name": "C",
            "last_name": "Kincaide",
            "name_suffix": "",
            "institution": "Keck School of Medicine of the University of Southern California, Los Angeles, California",
            "department": "None"
        },
        {
            "first_name": "Crystal",
            "middle_name": "",
            "last_name": "Ives",
            "name_suffix": "",
            "institution": "Keck School of Medicine of the University of Southern California, Los Angeles, California",
            "department": "None"
        },
        {
            "first_name": "Sean",
            "middle_name": "",
            "last_name": "Henderson",
            "name_suffix": "",
            "institution": "Keck School of Medicine of the University of Southern California, Los Angeles, California",
            "department": "None"
        }
    ],
    "date_submitted": "2010-03-26T07:00:00Z",
    "date_accepted": "2010-03-26T07:00:00Z",
    "date_published": "2011-05-27T07:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/18099/galley/9227/download/"
        }
    ]
}