Run Time: 4 minutes
Author: Dr. Brent Levy
- Etomidate: longer acting and causes less hemodynamic instability, but causes adrenal suppression – not good for septic patients.
- Propofol: quick acting, but causes hemodynamic instability – not good for hypotensive patients.
- Ketamine: does not suppress the breathing drive, but increases HR – not good for card patients.
- Succinylcholine: short acting paralytic, but not good for burn patients or hyperkalemia patients or patients with a history of malignant hypothermia.
- Rocuronium: longer acting paralytic, and is okay to give to the patients with the conditions described above.
- Delayed Sequence Intubation: good for patients who do not have adequate preoxygenation – normally a sedative is given prior to preoxygenation – may even avoid intubation all together.
Link to Podcast: http://medicalminute.madewithopinion.com/rsi-drugs/