PEM Source

Your source for all things Pediatric Emergency Medicine

1

Question: Critical Care

You are caring for a 6yo oncology patient presenting in septic shock. Although he is oxygenating and ventilating well at this time, you plan to intubate him to reduce his metabolic work. The most important pre- treatment before rapid sequence intubation (RSI) is:

(Click the link to comment and to vote – voting not working through email, sorry!)

What is the most important pretreatment before RSI?
AirwayIDOncologyProceduresResusc

pemsou5_wp • September 19, 2017


Previous Post

Next Post

Comments

  1. Kelly September 19, 2017 - 7:53 am Reply

    E. Fluids, as intubation and mechanical ventilation may affect hemodynamics adversely
    The medications given for RSI may exacerbate hypotension. Additionally, positive pressure ventilation results in decreased venous return, which can further exacerbate hypotension. Atropine is no longer routine recommended for pediatric RSI (see discussion at PED EM Morsels http://pedemmorsels.com/atropine-needed-rsi/)

Leave a Reply

Your email address will not be published / Required fields are marked *