Podcast #402: Rapid sequence intubation medications

Educational Pearls:

• RSI includes induction agent (sedative) and a paralytic
• Succinylcholine is a depolarizing paralytic of rapid onset and short duration with contraindications in hyperkalemic states and muscular dystrophy
• Rocuronium and vecuronium are longer acting, non-depolarizing paralytic, more commonly
• Common induction agents are etomidate and ketamine
• Ketamine can be particularly beneficial for bronchodilator effects in those with reactive airway disease

References:

Stollings JL, Diedrich DA, Oyen LJ, Brown DR. Rapid-sequence intubation: a review of the process and considerations when choosing medications. Ann Pharmacother. 2014 Jan;48(1):62-76. doi: 10.1177/1060028013510488. Epub 2013 Nov 4. Review. PubMed PMID: 24259635.

Summary by Travis Barlock, MS4  | Edited by Erik Verzemnieks, MD