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RSI originated in the anesthesia literature to prevent aspiration in unprepped patients undergoing general anesthesia. From the first anecdotal reports of p-RSI in 1972, prehospital intubation has matured into widespread use. The often conflicting outcome data underscored the need to standardize the approach to p-RSI.
The Italian Social Republic ( Italian : Repubblica Sociale Italiana , RSI ), informally known as the Republic of SalÃ² ( Italian : Repubblica di SalÃ² , pronounced ), was a state with limited recognition that was created during the later part of World War II , existing from the beginning of German occupation of Italy in September 1943 until surrender of German troops in Italy in April 1945.