RE: Etomidate for kids

["Michael" <impavidu@sbcglobal.net>]

In our protocols, 20mg is the max. dose for adults for RSI.

 

 

-----Original Message-----
From: flightmed-admin@flightweb.com [mailto:flightmed-admin@flightweb.com] On Behalf Of Traumaweasel@aol.com
Sent: Tuesday, March 04, 2003 9:35 PM
To: flightmed@flightweb.com
Subject: Etomidate for kids

 

I work at Rainbow Babies and Children's Hospital in Cleveland we routinely use etomidate as part of RSI. Works great!!!  I am sort of superstitious about using any thing else! Every time I have use it have had succesfull intubations! as far as a age cut off---well I just intubated at 14 day old and a 15 month old both using etomidate- and was succesfull with 1st attempts on both. Decreases ICP, Very little hemodynamic effect, work on adults, peds, doesnt need to be locked up.....you cant go wrong!

Anyone know of a max dose on adults??  if you use .3mg/kg you can easily go over 20mg per vial --which is all we carry. any thoughts.

Geoff Patty RN
University Hospitals of Cleveland
Rainbow Babies and Children's Hospital
Critical Care Transport