Sedation vs. sedation/paralysis

[JSRN85@aol.com]

The flight srvice I work for is in the process of our yearly protocol revisions.  Several questions have been brought up regarding the use of sedation and paralysis of intubated patients.

I would like to find out if other services rotuinely use paralytics on all intubated pt.s, along with sedation, or is sedation alone enough if the pt. is not "fighting" the ventilator. 
Also, we are looking at adding Etomidate to our protocols, in addition to the Versed/Mivacron we use presently.  If any other services are using Etomidate, what are some of the pros/cons of this drug.

Thank you very much,
John Smith, RN
AeroCare
Lubbock, Tx.

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