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Every once and a while we do. I've seen it done more on the big chronics who self-extubated (again...) and are just to big and strong for any type of successful intubation with out being at least a little sedated. However - the one's I've had already had IVs... so administering some Fentanyl wasn't that big of a deal. I'm not sure what we would do w/o IV access... not going to spend time starting an IV just for that.
Depends on the kid...if he has a line and is fighting terribly then yes we sedate...if it is a total emergency, he just gets tubed and medicated after. If it is a bigger kid going for a procedure then we do sedate then intubate. We don't rapid sequence anyone in our unit. We have dripped versed up their noses if no access is available.
Hey y'all. We're finally getting moving on this pain-management stuff over here (thanks to the illustrious Steve), and as the self-appointed research nerd, I've found a really interesting article on premedication for non-emergent intubation. The article focuses on medication with atropine, fentanyl, and with/without a muscle relaxant. This got me thinking. We (surprise!) don't medicate for intubations at ALL. Like, not ever. Do you? What do you use? What have you noticed?
We try to for all intubations in the unit...Fent. or Versed.
elizabells, BSN, RN
2,094 Posts
Hey y'all. We're finally getting moving on this pain-management stuff over here (thanks to the illustrious Steve), and as the self-appointed research nerd, I've found a really interesting article on premedication for non-emergent intubation. The article focuses on medication with atropine, fentanyl, and with/without a muscle relaxant. This got me thinking. We (surprise!) don't medicate for intubations at ALL. Like, not ever. Do you? What do you use? What have you noticed?