Predictors of poor outcome after intubation
Push Dose Pressors
- onset 1 minute
- duration 5-10 min
- dose: 0.5-2 ml every 2-5 min(5-20 mcg)
- code card epi and epi for anaphylaxis - both have 1 mg of epi, one is just more concentrated
- onset 1 min
- duration 10-20 min
- dose: 0.5-2 ml q2-5 minutes(50-200 mcg)
Optimizing Oxygenation Prior to Intubation
> optimize positioning (Head of Bed at 20 degrees)
> apneic preoxygenation & denitrogenation
> continuous oxygenation delivered via high-low NC during the intubation
> Rapid sequence intubation
> Delayed sequence intubation - procedural sedation where the procedure is intubation
- ketamine 1-2 mg/kg > Preoxygenate > paralytic> intubation
- caution with CAD, HTN, tachycardia
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Department of Emergency Medicine
Medical Education Building., Third floor
1000 Blythe Blvd.
Charlotte, NC 28203