Medical wr

Medical Wr

Role of Anaesthetic Nurse in Rapid Sequence Intubation (RSI) in Emergency Patient
During and after surgery, anaesthetic nurses are responsible for administering pain
medicine to patients. Patients at risk for medical complications may be given fast sequence
intubation as a precautionary measure. In RSI, however, anaesthetic nurses are needed to
perform a variety of responsibilities.
The nurse should be able to assess the patient’s ECG, arterial line, and saturation probe, as
well as suction and oxygen. Only after a patient has been identified and adequately prepped for
intubation may intubation occur. Certain anaesthetists prefer high-vacuum suction over the
regular suction that is routinely provided. The patient’s intravenous lines should be accessible.
The stomach should be aspirated if the patient has a nasogastric tube.
Anaesthetic nurses assist in getting the patient ready for surgery. A minimum of 15
seconds of breathing with an oxygen content of at least 85 percent is required before intubation
may begin (Graham et al., 2017). Afterward, the patients should be pre-oxygenated and informed
of what will happen.
Nurses also ensure that patients stay calm by standing behind them, issuing instructions,
and changing positions to facilitate the pre-oxygenation process, which is the most frightening
time for the patient. The process aims to maximize the patient’s KPaO2 as the patient will be
unable to maintain any respiratory effort.
Sniffer’s posture is attained by elongating the head at the atlanto-occipital joint, providing
for an almost straight line of passage from the patient’s lips to their glottic aperture; this is
referred to as the “smelling the morning air” position (Stewart et al., 2014). Nonetheless, a nurse
must perform a medical procedure by removing the patient’s head and placing it flat with their

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face at an angle to their xiphoid cartilage. A tiny pad or cushion should be placed under the
occiput.
Gastric reflux and aspiration are prevented by compressing the cricoid cartilage against the
cervical vertebrae. Still, nurses should provide information such as when the patient last had
food, the location of any nasogastric tubes, when they were aspirated, and how much gastric
content the patient has generated. The nurses then discuss cricoid pressure before the surgery.
Ultimately, the anesthesiologist has the final say on these matters.

Non-Technical Skills during RSI in Emergency Patients

It may be challenging for anesthesiologists to communicate effectively when they are
called upon to collaborate with other professionals. Thus, a new area in the training of health
professionals began to develop, the “non-technical skills,” to overcome the obstacles arising
from the professional culture and human factor.
Non-technical skills are cognitive and interpersonal abilities that aid in successful
cooperation and include the skills of communication, teamwork, status awareness, decision-
making, and role-sharing. Skills not based on technical knowledge but on the human dimension
may significantly impact patient care.
Communication
To be a successful nurse, you’ll need to express yourself clearly and concisely with others.
For this reason, the abilities of non-technical communication are not included individually in the
qualifications of health professionals but are considered to be present in all of them.
Undergraduate nursing students learn the fundamentals of communication, which they then
refine via hands-on practice in the clinical setting (Yule et al., 2016). Interpersonal
communication occurs on two levels: the connection between the interlocutor and the substance

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of the communications sent by each participant. A patient’s well-being and the smooth
functioning of the team are at stake if communication hurdles and limits are not identified and
addressed. Team cooperation and communication skills may be taught through a program that
teaches interdisciplinary team members how to work together more effectively.
Awareness
The nurse anesthetist should always be on the lookout for any potential dangers. They
should pay attention to how the other members of the team engage with the patient, as well as the
patient’s own emotions. This requires that you evaluate information that comes in and identify
emerging needs while looking forward to what comes next so that you may take action as soon
as possible and with maximum effectiveness.
Teamwork and Collaboration
All surgical team members a