EMCrit Podcast 7 – Sedation Tirade

by emcrit on July 23, 2009

Hi folks,

this podcast is really brief–I gave a lecture at Jacobi last week (thanks for having me Jacobites!), and in response to a question I gave this rant on my vision of sedation after intubation.

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{ 2 comments… read them below or add one }

Jose D. Torres, Jr. January 11, 2010 at 19:03

From Jacobi Alumnus, I appreciate this EmCrit site with its lectures and blogs.
Much appreciated sharing of knowledge.
What sedation would you recommend for the hypotensive multi trauma patient?
Different from the trauma patient with the isolated head injury?
I recall you mentioned paralytic once or twice to get a study done such as a panscan. But emphasized analgesia, making them comfortable on fentanyl and giving ativan for sedation prn to supplement the fentanyl. Any new medications that would be better for these trauma patients? You must have great experience in this from being at Shockley Trauma.
Will ketamine with sedation like propofol have a future role in the trauma patient? I have read an article done on soldiers in the field, in Israel on agitated patients with head injuries. Perhaps the bad things mentioned about ketamine about head trauma patients today, will be recanted in the near future.

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Gregor January 29, 2010 at 09:39

Hi there!
THX for awesome points!
Just a short one; what’s UR rate of fentanyl drip for sedation after intubation?
THX, gregor

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