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Rapid Sequence Intubation in Head Trauma - Traumatic Brain Injury on Adults: A Literature Review

Journal: International Journal of Science and Research (IJSR) (Vol.10, No. 10)

Publication Date:

Authors : ;

Page : 992-996

Keywords : rapid sequence intubation; traumatic brain injury (TBI); intubation; ketamine; emergency medicine; rocuronium; succinylcholine; pre - treatment; induction agents; intracranial pressure;

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Deciding on appropriate drug administration for traumatic brain injury (TBI) patients undergoing intubation can be scary and confusing. Pre - treatment with lidocaine and/or vecuronium is no longer recommended; however, high doses of fentanyl can be used to help blunt the sympathetic stimulation of intubation. Induction with etomidate is recommended; However, ketamine may be considered in appropriate patient populations, such as hypotension. Paralysis can be performed with succinylcholine or rocuronium, with a warning that rocuronium may cause delays in proper neurologic examination because: prolonged paralysis. Recommendations for continuous post - intubation sedation including the combination of propofol and fentanyl in normotensive/hypertensive patient population. The combination of midazolam and fentanyl or ketamine alone may be considered ina hypotensive patient.

Last modified: 2022-02-15 18:46:47