Rapid sequence anesthetic induction via prehospital tracheal intubation

The choice of sedation for emergency intubation remains controversial. This lack of consensus has led to various sedation protocols used in French prehospital care setting. A review of data from the literature suggests that the association etomidate-suxamethonium is probable the best choice for rapi...

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Bibliographic Details
Published in:Annales françaises d'anesthésie et de réanimation 1998, Vol.17 (7), p.688-698
Main Authors: Adnet, F, Hennequin, B, Lapandry, C
Format: Article
Language:fre
Subjects:
Anesthesia, Endotracheal - methods
Emergency Medical Services - methods
Etomidate
Humans
Hypnotics and Sedatives
Intubation, Intratracheal - methods
Neuromuscular Depolarizing Agents
Succinylcholine
Time Factors
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Summary:The choice of sedation for emergency intubation remains controversial. This lack of consensus has led to various sedation protocols used in French prehospital care setting. A review of data from the literature suggests that the association etomidate-suxamethonium is probable the best choice for rapid sequence intubations in the prehospital setting. Its benefits include protection against myocardial and cerebral ischaemia, decreased risk of pulmonary aspiration, and a stable haemodynamic profile. Randomized studies are needed to substantiate the advantages of the association etomidate-suxamethonium for rapid sequences intubation in the prehospital setting.
ISSN:0750-7658