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Pre-Medication Agents

NextGen Learning To Elevate Your Airway Practice


Pre-Medication


In airway management, premedication (or pretreatment) refers to the administration of medications shortly before actual anesthesia (a.k.a. before induction and paralysis). This is done to reduce complications from the intubation itself. For example, Lidocaine is sometimes given to decrease the rise in intracranial pressure from forceful laryngoscopy.

In practice, premedication before induction is rarely performed outside of surgical anesthesia, largely because of the lack of evidence for its effectiveness. However, they can be useful in select patients.


So why pre-medicate?

Adopted from a 2017 lecture recording by Megan Shaff, PharmD.

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Lidocaine

Adopted from a 2013 lecture recording by Peter Shellabarger, DNAP, CRNA.
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Fentanyl

Adopted from a 2017 lecture recording by Megan Shaff, PharmD.

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The Anticholinergics

Atropine

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Adopted from Medzcool channel, YouTube, 2020

Glycopyrrolate

Adopted from Michael Bently channel, YouTube, 2013

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