When is etomidate contraindicated?
Etomidate is contraindicated in any patient with a known hypersensitivity reaction. Etomidate is a commonly used sedative during rapid sequence intubation (RSI). Septic patients have an increased risk of developing adrenal suppression, which has been associated with increased mortality in some studies.
Why is etomidate used?
Etomidate is a short-acting intravenous anesthetic indicated for the induction of anesthesia and supplementation of subpotent anesthesia during short operative procedures. Imidazole derivative anesthetic and hypnotic with little effect on blood gases, ventilation, or the cardiovascular system.
What is etomidate IV used for?
Etomidate (USAN, INN, BAN; marketed as Amidate) is a short-acting intravenous anaesthetic agent used for the induction of general anaesthesia and sedation for short procedures such as reduction of dislocated joints, tracheal intubation, cardioversion and electroconvulsive therapy.
Can etomidate be given IM?
Etomidate Injection, USP is intended for administration only by the intravenous route (see CLINICAL PHARMACOLOGY).
What is the onset of etomidate?
Intravenous injection of etomidate produces hypnosis characterized by a rapid onset of action, usually within one minute. Duration of hypnosis is dose dependent but relatively brief, usually three to five minutes when an average dose of 0.3 mg/kg is employed.
Is etomidate still used?
Despite these potential concerns, many anaesthetists still use etomidate for induction of anaesthesia in cardiac surgery patients, in whom haemodynamic stability immediately after induction of anaesthesia is considered important.
How do you give Suxamethonium?
Suxamethonium Chloride may be given by intravenous infusion as a 0.1% to 0.2% solution, diluted in 5% glucose solution or sterile isotonic saline solution, at a rate of 2.5 to 4mg per minute. The infusion rate should be adjusted according to the response of individual patients. As for adults.
How fast do you push etomidate?
Administration. IV: Administer IV push over 30 to 60 seconds. Solution is highly irritating; avoid administration into small vessels; in some cases, preadministration of lidocaine may be considered.
What is the dosage of etomidate for anesthesia?
Etomidate dosage may be viewed as an alternative to propofol or barbiturates for the IV induction of anaesthesia, especially in the presence of an unstable cardiovascular system. After a standard induction dose of 0.2 to 0.4 mg/kg IV, the onset of unconsciousness occurs within one arm-to-brain circulation time.
Why is etomidate used in open heart surgery?
Because of excellent cardiovascular stability, etomidate is considered to be a suitable induction agent for open-heart surgery.
Which is better for ECT etomidate or methohexital?
Definition. Methohexital – gold standard for ECT, no change of seizure duration but better tolerated than etomidate secondary to ability to blunt hemodynamic response and better than propofol and thiopental because it does not decrease seizure duration.
Which is the best anesthetic to use for ECT?
According to Miller, “ Methohexital (0.75 to 1.0 mg/kg) is the most commonly used drug for ECT anesthesia and is considered the “gold standard” ,” although there are data to suggest that outcomes are no different between methohexital and propofol, despite the decreased seizure duration with propofol.