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Complications following attempted rapid sequence intubation
  1. J Hulme
  1. Correspondence to:
 J Hulme
 Honorary Lecturer in Anaesthesia and Intensive Care, University of Birmingham, UK; jonhulme{at}

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The case report by Bauer et al. highlights that problems occur following rapid sequence induction (RSI) and may lead to invasive procedures.1 These can cause harm to the patient.

There are other lessons to be learnt that the authors have not elaborated upon.

The presence of fasciculations and flaccid paralysis following the first dose of suxamethonium indicated the onset of the expected effect. …

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