Skip to content

Delayed Sequence Intubation

a sedation assisted preoxygenation strategy


sedation assisted pr-ox

DSI is procedural sedation for preoxygenation before RSI. Instead of an agitated and hypoxic patient, we want them to be calm, spontaneously breathing, and protecting their airway.

It’s great for patients who need intubation, but cannot tolerate pre-oxygenation by any other means, Patients with agitated delirium from hypoxia, hypercapnia, or an underlying medical condition are all potentially great candidates for DSI.

Rapid Review

curated learning

We love this short video on the concept of DSI by @EricShappell. It’s well worth the 90 seconds it takes to watch. Then check out some of his other great YouTube education videos on similar topics.


A great flowchart adapted from Chris Nickerson and Life in the Fast Lane. Two great online resources to help you build your learning network.

Procedure Video

Here is a detailed step-by-step video of delayed sequence intubation in action.

Guided Practice

HANDS-ON training

Remember, if you’re in one of our pop-up learning spaces or a PAC Live event, find this icon and use the multimedia tools for hands-on guided practice.

  1. Look for this icon.
  2. Snap the QR code.
  3. Begin your hands-on practice.
  4. Get feedback on your skills.

Don’t forget to ask our faculty coaches for real-time expert feedback and earn points!

Earn Points

metabolic derangement

Severe acidosis, puts your patient at risk of post-intubation cardiac arrest due to the rapid rise of pCO2 during the apneic period. We cover the basics of both metabolic and respiratory acidosis and give you a strategy to prevent post-intubation death by hydrogen ion.

If you can’t be with us in person, you can still enjoy the online version of this learning space by using the link below.

%d bloggers like this: