Etomidate (Amidate)

Question 1

Etomidate Class?

Answer 1

Anesthetic, hypnotic

Question 2

Etomidate Action?

Answer 2

Etomidate is a very potent drug that acts on the central nervous system to produce a short-acting anesthesia with amnesic properties. Etomidate has very little effect on respiratory drive which makes it ideal for certain procedures.

Question 3

Etomidate Indications?

Answer 3

Premedication prior to procedures such as endotracheal intubation, synchronized cardioversion, conscious sedation for bone dislocation relocation.

Question 4

Etomidate Contraindications?

Answer 4

Hypersensitivity, labor and delivery

Question 5

Etomidate Onset/Duration?

Answer 5

Onset: < 1 min
Duration: 5-10 min

Question 6

Etomidate Dose/Route?

Answer 6

Adult: 0.3mg/kg IV over 30-60 sec, limited to one dose

Peds: 0.3mg/kg IV over 30-60 sec with a max dose of 20 mg

Question 7

Etomidate Side Effects?

Answer 7

Hypotension, hypertension, dysrhythmias, hypoventilation, nausea/vomiting, cortisol suppression

Question 8

Etomidate Notes*

Answer 8

Primarily used for Rapid Sequence Intubation/induction (RSI) in the prehospital setting