CLINICAL CONTROVERSIES Clinical Controversies: Etomidate as an Induction Agent for Endotracheal Intubation in Patients With Sepsis
نویسنده
چکیده
Opposing authors provide succinct, authoritative discussions of controversial issues in emergency medicine. Authors are provided the opportunity to review and comment on opposing presentations. Each topic is accompanied by an Editor’s Note that summarizes important concepts. Participation as an authoritative discussant is by invitation only, but suggestions for topics and potential authors can be submitted to the section editors
منابع مشابه
Controversies surrounding the use of etomidate for rapid sequence intubation in patients with suspected sepsis.
OBJECTIVE To evaluate the risk of adrenal insufficiency following a single dose of etomidate in patients with suspected sepsis requiring rapid sequence intubation. DATA SOURCES A literature search was conducted using PubMed, MEDLINE, EMBASE, and International Pharmaceutical Abstracts from the dates of database inception until April 2010, utilizing the terms adrenal insufficiency, etomidate, a...
متن کاملEtomidate, sepsis, and adrenal function: not as bad as we thought?
The choice of induction agent for endotracheal intubation can have significant downstream effects, especially in critically ill patients. In a retrospective study, Ray and McKeown found that the choice of induction agent had no significant effect on use of vasoactive medications, corticosteroids, or mortality. Given the heated debate regarding corticosteroids in septic shock and the role that e...
متن کاملEtomidate as an induction agent for endotracheal intubation in patients with sepsis.
Opposing authors provide succinct, authoritative discussions of controversial issues in emergency medicine. Authors are provided the opportunity to review and comment on opposing presentations. Each topic is accompanied by an Editor’s Note that summarizes important concepts. Participation as an authoritative discussant is by invitation only, but suggestions for topics and potential authors can ...
متن کاملThe Effect of Single-Bolus Etomidate on Septic Patient Mortality: A Retrospective Review
BACKGROUND Because of its many desirable properties, etomidate is widely used as an induction agent for endotracheal intubation. However, some have recently called into question the safety of etomidate for even single-bolus use due to its known effects on adrenal suppression. OBJECTIVES We sought to compare the in-hospital mortality between septic patients given etomidate and those given alte...
متن کاملControversies in rapid sequence intubation in children.
PURPOSE OF REVIEW Rapid sequence intubation is the method of choice for intubation of the emergency department patient. The purpose of the present review is to address several controversies pertaining to emergency department rapid sequence intubation of children. RECENT FINDINGS The topics covered in this review include the determination of the appropriate clinician to perform emergency depar...
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