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Flashcards in RSI Drugs Deck (11):
1

Sedative/ Induction Agents

Etomidate (Amidate)
Ketamine
Propofol (Diprivan)
Midazolam (Versed)

2

Paralytics

Succinylcholine
Rocuronium
Vecuronium

3

Etomidate

0.3mg/kg IV
15-45sec
3-10 min
+: No change in BP
-: adrenal suppression (concern in sepsis)

4

Ketamine

1 mg/kg IV, with max loading dose of 50mg/kg (NMDA receptor)
30-45s
20 min
+: No change in BP, bronchodilator, analgesia, dissociative amnesia
-: may cause ICP rise, allergic reaction

5

Propofol

1-2.5mg/kg IV
20-40s
5-10min
+: post intubation sedation, bronchodilator, status epilepticus
-: Hypotension

6

Succinylcholine

1.5mg/kg IV
45-60s
5 min
+: rapidly extubated after elective procedure
-: hyperkalemia, malignat hyperthermia, burns, crush injury/neuromuscular disorder, bradycardia

7

Rocuronium

1 mg/kg IV
60s
30 mins
+: longer acting
-: can not be rapidly extubated

8

Vecuronium

0.1 mg/kg IV (10mg typical)
2-3 min
45-60 min
+:
-: not recommended for RSI, slow onset, long duration

9

Midazolam (Versed)

0.3mg/kg
+: Conscious sedation
-: Hypotension

10

RSI
(7 P's)

Preparation
Pre-oxgenation
Pre-treatment (fentanyl, SEDATE)
Paralysis
Protection and Positioning
Placement and Proof
Post intubation management

11

Premedication

Atropine in babies <1yo
Fentanyl