nextgen learning to elevate your airway practice
Introduction
LISTEN HERE
When your patient’s pressure is tenuous picking the intubation meds in the appropriate doses is critical. We go over it for you here.
Rapid Review
How do you give RSI medications in a way the minimizes the impact on hemodynamics? Get a quick hit here and then dive deeper into this topic.
Hemodynamically neutral intubation is part of an overall strategy to reduce the intubation procedure’s impact on your critically ill patient. Choosing the right agents at the right doses is how to do that.
SEDATIVE OF CHOICE?
Ketamine – .25 to .5 mg/kg in TITRATED DOSES. Go low to avoid hypotension and peri-intubation arrest.
How to Give Your Medications
SEDATIVE OF CHOICE?
Why ROCketamine & not Keturonium? Timing is important! In shock patients, you want optimal intubation conditions FAST. Understand the pharmacodynamics of your agents. Rocuronium FIRST followed by Ketamine reduces your lag time from drugs pushed to optimal intubation conditions.
To Be Completed
What’s Next
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When you’re ready, it’s time to head to the next poster shown here to continue the journey through this space.
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Not in the physical PAC learning space? You can continue to access this enhanced digital content by clicking the link below to advance to the next poster. Otherwise, find the physical poster above for hands-on learning opportunities along with expert coaching in the physical learning space.
References
- PulmCrit- Rocketamine vs. Keturonium for Rapid Sequence Intubation. April 24, 2017 by Josh Farkas
- REBEL EM – Dosing Sedatives Low and Paralytics High in Shock Patients Requiring RSI Written by Salim Rezaie
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