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Tag: Etomidate

REBEL Core Cast 112.0 – Awareness During Paralysis

Take Home Points: Dose your RSI meds correctly.  Reach for post-intubation sedation at the same time you are asking for your induction agent and paralytic.   Propofol is a great choice for post-intubation sedation, and if your patient becomes hypotensive do …

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Resuscitation

Peri-Intubation Hypotension – Dose Induction Dose Matter?

Background: Rapid Sequence Intubation (RSI) is a procedure fraught with potential complications including hypotension which, in turn, can result in cardiovascular collapse. While there are numerous potential causes of hypotension peri-RSI, induction medications represent an important, modifiable variable. Over the …

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Procedures and Skills

REBEL Cast Ep120: Etomidate vs Ketamine for RSI in the ED?

Background: Standard rapid sequence intubation (RSI) in the emergency department involves administration of an induction agent and a neuroblocking agent in quick succession.  RSI inherently carries with it risks of complications such as post-intubation hypotension and cardiac arrest in the …

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Procedures and SkillsResuscitationThoracic and Respiratory

Etomidate Vs. Ketamine: A Systematic Review and Meta-Analysis

Background: Rapid sequence intubation (RSI) induction agent selection remains a heavily debated matter. Etomidate causes adrenal suppression in critically ill patients triggering a groundswell of support in favor of ketamine. (Albert 2011, Jabre 2009) However, the existing literature comparing etomidate …

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Resuscitation

The EvK Trial: Ketamine vs Etomidate for Rapid Sequence Intubation

Background: The use of ketamine and etomidate for induction in rapid sequence intubation is heavily debated. The Ketased Trial (Jabre 2009) reported no significant difference between the two induction agents. However, recently the National Emergency Airway Registry reported ketamine is …

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Resuscitation

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