RE: Etomidate for kids

["Breese, Robert P" <Bob.Breese@usa.xerox.com>]

20 mg is may be a low dose in some patients and cause more problems than
help.

-----Original Message-----
From: Michael [mailto:impavidu@sbcglobal.net]
Sent: Wednesday, March 05, 2003 9:32 AM
To: flightmed@flightweb.com
Subject: RE: Etomidate for kids



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


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