Updated - Adult - Airway Management

Question 1

For the head injured adult pt, what is given to pre-medicate in RSI?

Answer 1

Liodcaine 1 mg/kg IV

Question 2

Why is lidocaine given in the adult head injured pt for RSI?

Answer 2

IV lidocaine has been shown to preferentially constrict cerebral vasculature. This reduces ICP spikes, which is neuroprotective to the injured brain.

Question 3

For the head injured adult pt, what is given for pre-existing bradycardia?

Answer 3

Atropine 0.01 mg/kg IV

Question 4

For the head injured adult pt, what is the first line sedative agent?

Answer 4

Etomidate 0.3 mg/kg IV

Question 5

For the head injured adult pt, what is the 2nd line sedative agent?

Answer 5

Ketamine 1.5-2 mg/kg IV

For the head injured pt, Ketamine is second line induction agent, as we do not want the ICP maintenance that Ketamine provides.

Question 6

For the head injured adult pt, what are the 1st line induction agents ?

Answer 6

• Succinylcholine 1.5 mg/kg IV (100 mg minimum)

OR

• Vecuronium 0.1 mg/kg IV

Question 7

For the head injured adult pt, what are the 2nd line induction agents ?

Answer 7

Succinylcholine 1.5 mg/kg IV (100 mg minimum) to induce paralysis followed by Vecuronium 0.05 mg/kg to maintain paralysis

Question 8

Rapid Sequence Induction: “Induction” refers to?

Answer 8

Sedation prior to intubation

https://litfl.com/rapid-sequence-intubation-rsi/

Question 9

What are the RCEMS induction drugs?

Answer 9

• Ketamine
• Etomidate
• Fentanyl

Question 10

What are the RCEMS paralytics?

Answer 10

• Succinylcholine

- Vecuronium