Which drugs are used for treating rapid sequence intubation RSI )? Select all that apply?

Which drugs are used for treating rapid sequence intubation RSI )? Select all that apply?

Ketamine 1.5-2 mg/kg IBW.

  • Etomidate 0.3-0.4 mg/kg TBW.
  • Fentanyl 2-10 mcg/kg TBW.
  • Midazolam 0.1-0.3 mg/kg TBW.
  • Propofol 1-2.5 mg/kg IBW + (0.4 x TBW) (others simply use 1.5 mg/kg x TBW as the general guide)
  • Thiopental 3-5 mg/kg TBW.
  • What order are RSI drugs given?

    Below are common steps:

    • During RSI, the patient may be positioned appropriately depending on their condition for pre-oxygenation and intubation.
    • Preoxygenation is done (100% oxygen is administered via a mask for three minutes).
    • Preoxygenation is immediately followed by the anesthesia-inducing drug and paralytic drug.

    What medications do you give before intubation?

    Commonly used premedications including fentanyl, midazolam, and atropine; induction agents including etomidate and ketamine; paralytics including rocuronium and succinylcholine; and reversal agents including naloxone, flumazenil, and paralytics are reviewed.

    When do you use rocuronium vs succinylcholine?

    Numerous reviews have concluded that succinylcholine provides better intubating conditions than rocuronium, but other observational studies have reported that when rocuronium is used at a dose higher than 1 mg/kg, intubation is as successful as with succinylcholine.

    What do you give before succinylcholine?

    Fukano et al. [8] reported that 0.03 mg/kg rocuronium was recommended for safe and effective precurarizing dose in 3 min before succinylcholine. However, the effect of this dose to prevent fasciculations and postoperative myalgia from succinylcholine was not evaluated.

    Why is succinylcholine used in intubation?

    To this day, succinylcholine is the only depolarizing agent used for rapid sequence induction. Because of its rapid onset, ultrashort duration of action, and safety, it is the paralytic of choice in almost all cases of rapid sequence induction in adults.

    Is rocuronium better than succinylcholine?

    In general, succinylcholine was found to be superior to rocuronium when succinylcholine was dosed 1 mg/kg and rocuronium was dosed 0.6 mg/lg.

    When do you use vecuronium vs rocuronium?

    The results of our clinical trial revealed that the use of triple ED95 of rocuronium allowed a faster onset of relaxation and timing of intubation than the use of vecuronium, with an insignificant difference in the intubation score, the incidence of complications, and the changes in the hemodynamic parameters.

    What is the reversal agent for rocuronium?

    Reversal agents for rocuronium include anticholinesterases and sugammadex. Anticholinesterases work by competing with the neuromuscular blocking agents for acetylcholine receptors and restoring neurotransmission.

    What is the difference between rocuronium and cisatracurium?

    Cisatracurium is four to five times more potent than rocuronium. Rocuronium had a faster onset of action, a shorter clinical duration, and a faster spontaneous recovery rate compared with equipotent doses of cisatracurium.

    • July 28, 2022