TBI intubations

  1. What combination of meds are you using for induction in traumatic-brain injured patients? Sux, roc? Fentanyl, etomidate, propofol?
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  2. 2 Comments

  3. by   Laughing Gas
    Too many variables. Most induction agents have similar effects on cerebral function/perfusion except ketamine. Paralytics dont readily cross BBB unless its disrupted. Amidate can cause seizures. STP is known as most cerebral protective.
    For an active trauma with massive instability possibly scopolamine.
    For an old trauma, pretty much any combo of drugs can be defended.
  4. by   mwbeah
    Follow this link, it will definitely give you some insight. It is a nice article on the topic.
    http://www.east.org/tpg/intubation.pdf

    Mike

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