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.
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.
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.
This was so clear and concise! Thanks for the slides with all meds and categories on it.
Lovely video, very very informative for Intensivists etc, Thanks a lot!
im an RN and I appreciate this. Properly detailed out and explained
Beautiful video thank you
Great presentation
ED intern here. Great side by side comparison for a new doc!
very informative. thank you!!
great powerpoint! thank you!
Thanks a lot. Well explained :)
Clear as crystal
Thanks for your very informative video :)
FYI: Sellick's maneuver is no longer recommended per new research. BURP maneuver is used instead for positioning .
Thanks great content
Thanx for this amazing video ...plz keep uploading more
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.
Great video thank you
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.
I dont think so, now with sugammadex we can get a return of the NMB at any time. Without the risks of succynilcholine
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.
We carried succs, vec, and roc. For me it was usually patient dependent but most of the time my preferred med is roc.
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.
Thank you for this :)
Thank you so much
Thank you RT
thanks about helpful information !!! thank you very much.
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.
This was perfect
well explained
Would you consider a quick review video for those who need a refresher?
thanks for sharing a well thought out video
Thank you
A bit protracted but very informative.
No mention of thiopental? It's THE classic RSI induction agent
❤️🤩🤗🙌🏾
Thaaaaaaaaanx
Thx
What about benzodiazepines, versed and propofol?
X ray!? After tube placement?? Never seen or done in 2 years of study!!
Unless you have etco2 monitor you have to do Cxr.
As medicolegal proof that tube position is correct.
@@nhilistickomrad4259 If you don't have ETCO2 you probably shouldn't be intubting in the first place
Thx