Planning to intubate a critically ill patient? 🫁💉 What are you reaching for in RSI—ketamine or etomidate? The RSI Trial takes a hard look at this long-debated question 🔹 No mortality difference between ketamine and etomidate 🔹 Challenges concerns about etomidate-induced adrenal suppression 🔹 But here’s the twist: ketamine was linked to higher rates of cardiovascular collapse during intubation—especially in septic and high-severity patients ⚠️ Practice-changing data? Let’s take a listen to t
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Etomidate, a fast-acting anaesthetic, can cause serious or even fatal harm after just one use, but it's increasingly showing up in "Kpods", or drug-laced vapes. | TODAY
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Team Etomidate or K*tamine? HOT OFF THE PRESS: a NEJM paper on rapid sequence intubation (PMID: 41369227) comparing k*tamine vs. Etomidate for RSI Looks like etomidate may take the Dub What do you think? | CriticalCareNow
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Etomidate is a go-to induction agent in neuro anesthesia for a reason: predictable hypnosis via GABA-A receptor facilitation, decreased CMRO₂, CBF, and ICP, and excellent hemodynamic stability that helps preserve cerebral perfusion pressure. Just remember its effects on somatosensory-evoked potentials—both amplitude and latency can increase, which matters when neuromonitoring is in play. References: Barash Clinical Anesthesia, 7th Edition, pp. 489–490 Miller’s Anesthesia, 8th Edition, pp. 851–85
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