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

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jueves, 16 de mayo de 2019

Dissociated Awake Intubation

EMCrit RACC
EMCrit Podcast 247 - May 16, 2019 - By Scott Weingart
..."What is Dissociated Awake Intubation?
I coined this term to describe the administration of a dissociating dose of ketamine to allow a patient to be intubated for many of the same circumstances as the traditional topical awake approach.
This is theoretically distinct from the idea of using ketamine in a sedative-only intubation. The two ideas are separated by the intent, with the former subbing for a topical awake and the latter for a RSI, in systems where for whatever reason, paralytic can be used. In practice, they look the same–it is often the users that look different. 
Kovacs has used the term ketamine facilitated intubation to encompass both uses. This post and podcast only deal with dissociated awake..."