การใส่ท่อหายใจแบบรวดเร็วสำหรับผู้ใหญ่ที่ติดเชื้อหรือสงสัยว่าติดเชื้อ โคโรนาไวรัส 2019: แนวทางปฏิบัติสำหรับพยาบาลในแผนกฉุกเฉิน

songwut sungbun; Orapan  Thosingha

Authors

songwut sungbun Adult and Gerontological nursing department, Faculty of Nursing, HRH Princess Chulabhorn College of Medical Science, Chulabhorn Royal Academy
Orapan Thosingha Adult and Gerontological nursing department, Faculty of Nursing, HRH Princess Chulabhorn College of Medical Science, Chulabhorn Royal Academy

Keywords:

rapid sequence intubation, COVID-19 pandemic, nurses in emergency department

Abstract

Rapid Sequence Intubation (RSI) refers to the administration of an anesthetic induction agent and a neuromuscular blocking agent to increase operative efficiency. RSI helps reduce the duration of operations, complications, and risk of droplet transmission from aerosolization during endotracheal intubation. Therefore, during Coronavirus (COVID-19) pandemic, the protocols for RSI and wearing personal protective equipment (PPE) have been modified for use in the emergency department to prevent aerosolization and droplet transmission of the virus during endotracheal intubation. Thus, RSI has become a challenge for nurses working in the emergency department because, although in they must rush, they also have to ensure patient safety and maintain optimal nursing care simultaneously. Emergency Nurse Practitioners (ENPs) have to perform this procedure due to their expertise. They must assess and prepare the patients, properly assist physicians during the procedure, and monitor for and prevent adverse effects thereafter. This article aims to describe essential steps of the RSI procedure and the roles of ENPs in providing care throughout this procedure in the emergency department.

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