Tag Archives: RSI

Pre-hospital intubation experience and outcomes

Posted on June 1, 2010 by Cliff Reid

Hospitals and medical personnel performing high volumes of procedures demonstrate better patient outcomes and fewer adverse events. The relationship between rescuer experience and patient survival for out-of-hospital endotracheal intubation is unknown. An American study analysing 3 statewide databases with 26,000 … Continue reading →

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The myth of ketamine and head injury

Posted on May 12, 2010 by Cliff Reid

A literature review addresses the myth that ketamine is contraindicated in head injured patients. They summarise articles from the 1970’s which identified an association between ketamine and increased ICP in patients with abnormal cerebrospinal fluid pathways (such as those caused … Continue reading →

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Current Controversy in RSI

Posted on April 26, 2010 by Cliff Reid

A review article in Anesthesia and Analgesia provides a summary of the literature surrounding RSI controversies. Should a pre-determined dose of induction drug be given or should it be titrated to effect prior to giving suxamethonium? Should fast acting opioids … Continue reading →

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Etomidate versus ketamine for rapid sequence intubation

Posted on October 3, 2009 by Cliff Reid

Finally a well designed blinded randomised controlled trial on this subject. 0.3 mg/kg etomidate was compared with 2mg/kg ketamine for RSI in 655 patients requiring emergency intubation in the pre-hospital, emergency department, or intensive care unit environments. No difference was … Continue reading →

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