RT Book, Section
A1 Reichman, Eric F.
SR Print(0)
ID 57700714
T1 Chapter 8. Pharmacologic Adjuncts to Intubation
T2 Emergency Medicine Procedures, 2e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-161352-1
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=57700714
RD 2024/09/09
AB Oral  endotracheal  intubation  without  pharmacologic  assistance  should  be  reserved  for  the  unresponsive  and  apneic  patient.  Unconscious  patients  capable  of  resisting  laryngoscopy  or  those  with  spontaneous  respiratory  effort  should  be  intubated  with  the  assistance  of  pharmacologic  adjuncts.  A  rapid  sequence  induction  optimizes  intubation  conditions  while  minimizing  the  risk  of  aspiration  for  the  patient.  It  can  be  performed  with  a  high  rate  of  success  and  minimal  complications.1  Rapid  sequence  intubation  requires  the  use  of  several  pharmacologic  adjuncts  (Tables  8-1  &  8-2).  This  includes  a  potent  anesthetic  agent  to  induce  unconsciousness  and  a  neuromuscular  blocking  agent  to  produce  paralysis.