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A Comparison of Rapid Sequence Induction and Conventional Induction in Emergency Patients

afdal afdal, Sony Sony, Dewi Yulianti Bisri

Abstract

Rapid Sequence Induction (RSI) is an anesthetic induction technique commonly employed in emergency settings with a high risk of aspiration. Although conventional induction remains widely used, its more gradual approach may increase the risk of aspiration in non-fasted patients. This systematic review aimed to evaluate the effectiveness, safety, complications, and hemodynamic stability of RSI compared with conventional induction in emergency patients.

Methods: A comprehensive literature search was conducted using PubMed, Scopus, and the Cochrane Library in accordance with the PRISMA 2020 guidelines. Studies comparing RSI and conventional induction in emergency patients were included.

Results: RSI was associated with shorter intubation times and higher first-pass success rates, whereas conventional induction demonstrated greater hemodynamic stability, particularly in patients with shock. The incidence of aspiration was lower with RSI; however, the absolute aspiration rates were very low for both techniques.

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