Rapid-sequence intubation of the pediatric patient. Pediatric Emergency Medicine Committee of the American College of Emergency Physicians

Ann Emerg Med. 1996 Jul;28(1):55-74. doi: 10.1016/s0196-0644(96)70140-3.


Airway compromise is the most common cause of death and severe morbidity in acutely ill and injured children. Rapid-sequence intubation (RSI) is a technique for emergency airway control designed to maximize successful endotracheal intubation while minimizing the adverse physiologic effects of this procedure. RSI requires familiarity with patient evaluation, airway-management techniques, sedation agents, neuromuscular blocking agents, additional adjunctive agents, and postintubation management techniques. Emergency physicians should use RSI techniques in the endotracheal intubation of critically ill children.

Publication types

  • Review

MeSH terms

  • Age Factors
  • Airway Obstruction / therapy*
  • Child
  • Child, Preschool
  • Clinical Protocols
  • Decision Trees
  • Drug Monitoring
  • Emergency Medicine / methods*
  • Humans
  • Hypnotics and Sedatives / therapeutic use
  • Infant
  • Infant, Newborn
  • Intubation, Intratracheal / adverse effects
  • Intubation, Intratracheal / instrumentation
  • Intubation, Intratracheal / methods*
  • Neuromuscular Blocking Agents / therapeutic use
  • Patient Selection


  • Hypnotics and Sedatives
  • Neuromuscular Blocking Agents