[Rapid sequence anesthetic induction via prehospital tracheal intubation].
The choice of sedation for emergency intubation remains controversial. This lack of consensus has led to various sedation protocols used in French prehospital care setting. A review of data from the literature suggests that the association etomidate-suxamethonium is probable the best choice for rapid sequence intubations in the prehospital setting. Its benefits include protection against myocardial and cerebral ischaemia, decreased risk of pulmonary aspiration, and a stable haemodynamic profile. Randomized studies are needed to substantiate the advantages of the association etomidate-suxamethonium for rapid sequences intubation in the prehospital setting.
Adnet
F
F
Samu 93 et département d'anesthésie et de réanimation, CHU Avicenne, université Paris XIII, Bobigny, France.
Hennequin
B
B
Lapandry
C
C
D000770:Anesthesia, Endotracheal / Q000379:methods*; D004632:Emergency Medical Services / Q000379:methods*; D005045:Etomidate; D006801:Humans; D006993:Hypnotics and Sedatives; D007442:Intubation, Intratracheal / Q000379:methods; D009467:Neuromuscular Depolarizing Agents; D013390:Succinylcholine; D013997:Time Factors
D006993:Hypnotics and Sedatives; D009467:Neuromuscular Depolarizing Agents; D013390:Succinylcholine; D005045:Etomidate