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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:

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What is the most important pretreatment before RSI?

pemsou5_wp • September 19, 2017

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  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

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