Medikamente zur intravenösen Narkoseinduktion: Etomidat

Dumps, C.; Bolkenius, D.; Halbeck, E.

doi:10.1007/s00101-017-0381-6

Cited by 14 publications

(4 citation statements)

References 43 publications

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“…It has a favorable hemodynamic profile on induction, with minimal blood pressure depression, therefore being ideal for shock trauma, hypovolemic patients or patients with significant cardiovascular disease [91].…”

Section: Administration and Dosage Regimenmentioning

confidence: 99%

Procedural Sedation in Emergency Department: A Narrative Review

Cappellini,

Bavestrello Piccini,

Campagnola

et al. 2024

Preprint

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Procedural Sedation and Analgesia (PSA) in the Emergency Department (ED) presents a crucial aspect of emergency medicine, enabling the execution of painful or distressing procedures with minimal patient discomfort. This narrative review delineates the pharmacological framework, methodologies, and clinical considerations integral to optimizing PSA, with a particular focus on pediatric and geriatric populations. Through a comprehensive review and analysis of current practices, this work evaluates the pharmacokinetics and pharmacodynamics of widely utilized sedatives and analgesics, including propofol, ketamine, dexmedetomidine, fentanyl, midazolam, etomidate, nitrous oxide, and remimazolam. Special attention is dedicated to the selection criteria based on patient-specific risk factors, procedural requirements, and the management of potential adverse effects. The manuscript also explores innovative sedation techniques and the integration of new pharmacological agents, emphasizing evidence-based approaches to enhance patient safety and outcome. Results underscore the significance of tailored sedation strategies, especially for vulnerable groups such as pediatric and geriatric patients, highlighting the need for meticulous pre-procedural assessment and monitoring to mitigate risks. Conclusions drawn advocate for a nuanced application of PSA, guided by current evidence and clinical guidelines, to improve the quality of care in emergency settings. This research reinforces the imperative for ongoing education, skill development, and adaptation of new evidence into clinical practice to advance procedural sedation and analgesia in the ED.

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Section: Administration and Dosage Regimenmentioning

confidence: 99%

Procedural Sedation in Emergency Department: A Narrative Review

Cappellini,

Bavestrello Piccini,

Campagnola

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…Etomidate has a favorable hemodynamic profile upon induction, causing the minimal depression of blood pressure. This makes it particularly suitable for use in shock trauma patients, those with hypovolemia, or individuals with significant cardiovascular disease [88]. For procedural sedation and analgesia (PSA) in adults, etomidate is administered intravenously over 30 to 60 s at doses of 0.1 to 0.15 mg/kg, which is lower than the dose typically used for rapid sequence intubation.…”

Section: Administration and Dosage Regimenmentioning

confidence: 99%

Procedural Sedation in Emergency Department: A Narrative Review

Cappellini,

Bavestrello Piccini,

Campagnola

et al. 2024

Emergency Care and Medicine

View full text Add to dashboard Cite

Procedural sedation and analgesia (PSA) in the emergency department (ED) presents a crucial aspect of emergency medicine, enabling the execution of painful or distressing procedures with minimal patient discomfort. This narrative review delineates the pharmacological framework, methodologies, and clinical considerations integral to optimizing PSA, with a particular focus on pediatric and geriatric populations. Through a comprehensive review and analysis of current practices, this work evaluates the pharmacokinetics and pharmacodynamics of widely utilized sedatives and analgesics, including propofol, ketamine, dexmedetomidine, fentanyl, midazolam, etomidate, nitrous oxide, and remimazolam. Special attention is dedicated to the selection criteria based on patient-specific risk factors, procedural requirements, and the management of potential adverse effects. The manuscript also explores innovative sedation techniques and the integration of new pharmacological agents, emphasizing evidence-based approaches to enhance patient safety and outcome. The results underscore the significance of tailored sedation strategies, especially for vulnerable groups such as pediatric and geriatric patients, highlighting the need for meticulous pre-procedural assessment and monitoring to mitigate risks. The conclusions drawn advocate for a nuanced application of PSA, guided by current evidence and clinical guidelines, to improve the quality of care in emergency settings. This research reinforces the imperative for ongoing education, skill development, and the adaptation of new evidence into clinical practice to advance procedural sedation and analgesia in the ED.

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“…Die kardiopulmonale Belastbarkeit ist zur Gesamt-Risikoeinschätzung notwendig. Aussagekräftig und in den Leitlinien zur Risikostratifizierung gefordert [3] [8]. Eine Nebennierenrindensuppression ist (für einen Zeitraum von mindestens 6-8 Stunden) beschrieben [9].…”

Section: Kardiopulmonale Belastbarkeitunclassified

Anästhesiologisches Management von herz- und lungentransplantierten Patienten

Karsten¹

2020

Anästhesiol Intensivmed Notfallmed Schmerzther

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ZusammenfassungDie Zahl herz- und lungentransplantierter Patienten wächst stetig und ihre Lebenserwartung steigt. Somit nimmt auch die Wahrscheinlichkeit zu, dass einige dieser Patienten Komorbiditäten entwickeln, die einen chirurgischen Eingriff erfordern. Das perioperative anästhesiologische Management herz- und lungentransplantierter Patienten ist eine große Herausforderung – dieser Beitrag gibt einen Überblick.

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Medikamente zur intravenösen Narkoseinduktion: Etomidat

Cited by 14 publications

References 43 publications

Procedural Sedation in Emergency Department: A Narrative Review

Procedural Sedation in Emergency Department: A Narrative Review

Procedural Sedation in Emergency Department: A Narrative Review

Anästhesiologisches Management von herz- und lungentransplantierten Patienten

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