Guest guest Posted October 13, 2004 Report Share Posted October 13, 2004 > With regard to Dr. Bledsoe's statement about PAI, I would have to say that > the jury is also still out on this. > I would also like to comment on this issue. I have been using RSII for almost 10 years altogether. My experience is that now, after more and more experience, I use medication (sedation) - facilitated only much more often than I use full RSII. Dr. Bledsoe's comments re: the physiology are, of course, absolutely correct. But not all patients are at risk and/or susceptible to ICP changes secondary to airway articulation. In fact...relatively few patients are. I use MFI extensively in COPD, CHF, PN, etc. patients with great success. And I teach it to whoever will listen, as one more tool. Everyone on this list who has used RSII knows that in many...perhaps most....patients, the anatomic changes associated with paralysis will lead to the airway view moving one (or more) positions to the right on the Mallanpati scale. Said another way, sux will change a grade 2 to a grade 3, by collapsing the pillars and the supra-glottic muscles. Many times this is not an issue.....but sometimes it *is*. So, I do not agree with when he says it has no place. I believe it does. Thanks, Quote Link to comment Share on other sites More sharing options...
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