the thing is you cant say that propofol or etomidate do not have anxiolytic actions, since this depends on the dose. any GABAergic depressant drug in high doses creates unconsciousness and amnesia, in lower doses it just reduces anxiety. And midazolam is a positive allosteric modulator of GABAA receptors not a GABA agonist. Thank you for the video though, I learned a few things about the hemodynamic profiles of these drugs.
Succs is always the best initial paralytic Incase you can’t get the tube. You can usually bag a pt for 7to10 min without any problems until the succs wears off. You take away someone’s ability to breath with roc and then can’t successfully intubate the pt then you have a problem for the next 40-60 mins.
camilo daza that’s awesome if you have sugammadex but we don’t carry it. I watch medics use vec all the time as an initial paralytic when we have succs available.
Succs has fallen out of favor, most providers worth their weight use Rocc. If you can't intubate, there should already be an alternative airway out & ready to place.
New grad nurse who just started in the ED. My hat is off to you for making this video. I just saw my first RSI for a pt with angioedema. It was quite overwhelming but I appreciate the way you have broken it down into steps here. I just wish that I had a better idea of how to draw up these medications as the nurse for easiest and fastest administration depending on the dose that is ordered.
Most anaesthetic medications are trivial to prepare and are essentially presented ready for use. Certainly atropine, succinylcholine, rocuronium, fentanyl and Propofol all just require drawing out of the vial.
