Drugs: sedation and analgesia for intubation. Laryngoscopy and intubation cause discomfort; in alert patients, EV administration of a short-acting drug with sedative or combined sedative and analgesic properties is mandatory. Etomidate, a non-barbiturate hypnotic, at a dose of 0.3 mg/kg may be the drug of choice.
Options for endotracheal intubation include succinylcholine, intubation without an NMBA (eg, high dose remifentanil intubation, although this technique is associated with more trauma), or rocuronium or vecuronium if sugammadex is available for rapid reversal of block. (See 'Sugammadex' below.)
The usually recommended intubating dose of cisatracurium (a slow onset drug) is 0.15 to 0.20 mg/kg (3 4xED95). The commonly cited intubation-dose of 0.60 mg/kg for rocuronium represents less than 2xED95, yet the drug's onset profile is slower that that of succinylcholine.
The procedure of placing a tracheal tube is still called endotracheal intubation. drugs to facilitate intubation. Regardless of where
The standard intubating dose during routine anaesthesia is 0.6 mg rocuronium bromide per kg body weight, after which adequate intubation conditions are
by HB Ammundsen 2024 Cited by 12Inadequate dose. During rapid sequence intubation the goal is to achieve excellent tracheal intubation conditions in approximately 60 seconds
894: DOSING OF RAPID SEQUENCE INTUBATION MEDICATIONS IN THE EMERGENCY medications, doses, and the indication for intubation. Results: 316 patients
Drugs used in RSI control the adverse physiological effects of intubation responses to intubation in high doses, but at the risk of hypotension. The
Other patients are given sedating and paralytic drugs to minimize discomfort and facilitate intubation (termed rapid sequence intubation) (see table
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