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- Copyright
- © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins
- ISSN
- 1931-4485
- eISSN
- 1931-4493
- DOI
- 10.1097/TME.0b013e31827fb706
- pmid
- 23364402
- Publisher site
- See Article on Publisher Site
Abstract
Rapid sequence intubation is a stepwise process developed to assist health care providers in placing emergent artificial airways for patients requiring assisted ventilation. This practice includes routine administration of sedative and neuromuscular blocking agent (NMBA) medications for pa- tient comfort during endotracheal tube placement. Members of the multidisciplinary team should be well educated about the various medications used during this process to ensure safe medication practices in an emergent situation. Recent drug shortages have forced many health care profes- sionals to use alternative medications with which they are less familiar. The intent of this review is to familiarize health care providers with the pharmacology and adverse effect profiles of alterna- tive sedative and NMBA medications used in emergent airway placement in light of recent drug shortages. Key words: endotracheal intubation, neuromuscular blocking agent, rapid sequence intubation, sedation, sedative Author Affiliations: Department of Pharmacy Ser- IRWAY MANAGEMENT is one of the vices, Indiana University Health Methodist Hospital, In- primary roles of emergency person- dianapolis, Indiana (Dr Mason); North Carolina Public Health Preparedness and Response, Raleigh, North Car- A nel when critically ill patients present olina (Dr Weant); North Carolina Department of Pub- to the emergency department (ED). One lic Health,
Journal
Advanced Emergency Nursing Journal – Wolters Kluwer Health
Published: Jan 1, 2013