RSI Flashcards
induction agents
Ketamine
Etomidate
Propofol
Midazola
neuromuscular blockers
Suxamethonium
Rocuronium
Vecuronium
Etomidate onset and duration
Onset 30-60 sec, duration 2-3 min
Propofol onset and duration
Onset 10-45 sec, duration 3-10 min
Midazolam onset and duration
Onset 3-5 min, duration 15-30 min
Suxamethonium onset and duration
Onset 45-60 sec, duration 6-10 min
Rocuronium onset and duration
Onset 60 sec, duration 5-10 min
Vecuronium onset and duration
Onset 2.5-3 min, duration 25-40 min
Pre- med adjunct adgents
atropine and fentanyl
Atropine use as pre-medication for RSI
used to prevent bradycardia upon induction (particularly used in children)
Fentanyl use as pre-medication for RSI
sympatholytic, neuro-protection in head and vascular emergencies, pain control
Ketamine effect and indications
Provides analgesia, amnesia and sedation
Good for patients with head injury, elevated ICP, hypotension, bronchospasm, and those hemoodynamically unstable.
Good sole induction agent choice for a patient that has a contraindication to use of a paralytic agent
Ketamine adverse effects
increased secretion, raised intraocular pressure, cautio
Etomidate effect and indications
Provides sedation but NO analgesic effect
Pre-treatment with Fentanyl IV often used to blunt the painful stimulation of the upper airway during laryngoscopy
Good for patients with head injury, elevated ICP, hypotension, bronchospasm, CV disease, status epilepticus and those hemoodynamically unstable.
Etomidate AE
adrenal suppression, myoclonus
