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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

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Rapid IJ (aka Easy Internal Jugular Cannulation)

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sábado, 23 de mayo de 2015

RSI: Ketamina+Rocuronium

emDocs
emDocs - May 22, 2015 - Authors: Staats K, and Welch J.
Edited by: Koyfman A. & Bright J.
"Summary
The risks of increased ICP with ketamine, and a clinically significant delay in medication onset with rocuronium have not borne out in recent literature
Potential adrenal suppression with etomidate and the multiple contraindications of succinylcholine make the ketamine and rocuronium combination arguably a safer
Recent studies have shown no difference in usage of ketamine versus etomidate, and rocuronium versus succinylcholine in intubation conditions and first pass success in the Emergency Department
Ultimately, the ketamine and rocuronium combination has equal efficacy and a superior safety profile in comparison to etomidate and succinylcholine. Ketamine and rocuronium should become the first-line choices for RSI in critically ill patients."
http://www.emdocs.net/ketamine-and-rocuronium-the-new-etomidate-and-succinylcholine/