CS

Etomidate - Versed - Propofol - Ketamine ... all depends on the patient and the procedure being done.

Versed & fentanyl for shoulders.

Propofol, so short acting that you can cut it off and they wake up quicker. I think they end up doing better too.

We use a lot of etomidate and versed.

I'm a propofol girl. But etomidate works awfully nice as well. I find versed generally useless as a nurse (too much flopping around) but I've been put out with it and don't remember a thing, so I guess it does the trick for the patient. Hate, hate, hate ketamine.

Why do you hate Ketamine? Do you push it in conscious sedations, or make the doc?

I really dislike the side effects of ketamine for our patients. We use it a lot for peds, and I find that they take forever to wake up, have nightmares and are generally irritable post. With adults I just find it doesn't work as well as the other options, and again, they stay sedate for much longer. Not a problem for RSI, but if the goal is to pop a shoulder back in or fish something out of an orifice and then kick them out, ketamine sucks. As for who is giving the drug, it depends on what the sedation is for. If it is a STAT thing I push the drugs, more time for set up and prep they get another doc to do an "official" sedation.

Etomidate for adults, ketamine for peds.