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RSI Pharmacology New Hampshire Division of Fire Standards & Training and Emergency Medical Services RSI Medications Protocol meds Oxygen Lidocaine Atropine Etomidate ...
RSIPharmacology.ppt - Search
pharmacology
hampshire
division
standards
training
emergency
medical
services
medications
protocol
oxygen
lidocaine
atropine
Decreased ICP Nausea and vomiting Myoclonus Adrenocortical Suppression Etomidate Indications: Induction agent for intubation Pre-medication for cardioversion Etomidate ...
Etomidate (Amidate) Prehospital Considerations: Verapamil may prolong respiratory depression/apnea Etomidate does NOT have analgesic properties Nausea is common Myoclonic ...
Prehospital Pharmacology.ppt - Search
prehospital
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prolong
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analgesic
properties
nausea
common
myoclonic
Discuss the pharmacokinetic properties of propofol, ketamine, and etomidate. Compare the effects that nonbarbiturate IV anesthetics have on organ systems.
BP 85/50, HR 130; Anatomy easy . What type of airway? What drugs?? Etomidate for induction; You give etomidate and she has a seizure, why?
Airway 2004final version.ppt - Search
anatomy
... Intraoperative Management Induction of general anesthesia Induction Agents-Thiopental Induction Agents-Propofol Induction Agents-Ketamine Induction Agents-Etomidate ...
... are 1) Induction and intubation 2) Surgical manipulation 3) After ligation of the tumors venous drainage (Nagelhout & Zaglaniczy 2005) Induction & Intubation Etomidate ...
Leah_Olsson.ppt - Search
induction
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surgical
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tumors
venous
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nagelhout
zaglaniczy
Medication Regimens: Etomidate Etomidate Hypnotic anesthetic- no analgesia Little hemodynamic effect Frequently used in the emergency setting to induce ...
... reduce myoclonus Pre-treat with lidocaine 0.5mg/kg to reduce burning with injection Contraindicated with seizure disorder Contraindicated in children< 2 y.o. Etomidate ...
36307.ppt - Search
reduce
myoclonus
pre-treat
5mg/kg
burning
injection
contraindicated
seizure
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Induction Agent. Etomidate-Induction IV. or. Ketamine Induction IV . K + Risk +ICP . Asthma . Gen Sequence . RSI FLOW CHART . Poor Perfusion
Also reduce the amount of inhalation anesthetic for maintenance. E.g., includes thiopental, midazolam propofol, etomidate, ketamine.
Ketamine History . First synthesized by the Belgian chemist C.L. Stevens in 1963, and patented by Parke Davis in 1966, Ketamine was approved by the FDA in ...
Scenario 1: Broken arm . A 12 year old fell off his bicycle and fractured his distal arm. He is in significant pain. EMS protocols call for IN administration of ...
Nasal_Drug_Delivery_in_EMS.ppt - Search
scenario
broken
bicycle
fractured
distal
significant
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administration
... Can be used in all animal species Same action as ketamine/diazepam but can be given IM or subQ Good for exotics and aggressive animals Injectable Anesthetics Etomidate ...
... gangrene Tissue stores Post-anesthetic course Etomidate Structure similar to ketoconozole Direct CNS depressant (thiopental) and GABA agonist Redistribution Etomidate ...
anesthesia-200002.ppt - Search
gangrene
tissue
stores
post-anesthetic
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structure
similar
ketoconozole
direct
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agonist
redistribution
Begin just as Etomidate is administered; Maintained until ETT placement is confirmed and tube is secure (cuff inflated) Used to occlude the esophagus and ...
... Amidate) a nonbarbiturate hypnotic Decreases ICP/IOP Rapid onset, short duration Minimal hemodynamic effects No histamine release Increases seizure threshold Etomidate ...
RapidSequenceIntubation.ppt - Search
nonbarbiturate
hypnotic
decreases
icp/iop
rapid
short
duration
minimal
hemodynamic
effects
histamine
release
increases
threshold
... Loss of sensation’ General Regional Local Triad of General anaesthesia Hypnotic drugs-intravenous Gold standard- thiopentone Propofol others Etomidate ...
TIVA and Awareness TIVA recipe: Propofol/opioid +/- ketamine Ketamine is controversial since Ketamine (as well as Etomidate) enhance both SSEP’s and MEP’s Wake up ...
Etomidate . Mechanism: Hypnotic, not analgesic; Most hemodynamically stable; Inhibits excitation; Indications: All inductions; Less protection from bronchospasm
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