So I have witnessed quite a few intubations during my brief experience so far working in ICU, and the drugs I am requested to push are always different. Almost always we will give Fentanyl in some combination with either etomidate, succinylcholine, vecuronium or rocuronium.
Just wondering if anyone can give me any relevant differences between the various paralytics and why a doc would want one over another besides strictly preference? I ask because the last person we intubated the MD wanted roc- but for some reason we are not able to override the pyxis to get roc out immediately- only vecuronium. When offered vec, the MD said no and decided on etomidate instead.
Someone enlighten me please
... the only random thing I remember about any of these is that succ has the potential to cause rapid hyperkalemia/ cardiac death.