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PedsCrit
Intubation Essentials with Dr. Alyssa Stoner and Dr. Gina Patel, Part 5 Commonly Used Medications
Jul 29, 2021
Dr. Alyssa Stoner and Dr. Gina Patel discuss common pediatric intubation medications, emphasizing pre-medication importance for infants, risks of rapid fentanyl administration, and optimizing analgesics and sedatives. They cover topics such as IV lidocaine controversy, managing rigid chest syndrome, and titration strategies for optimal outcomes.
13:11
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Quick takeaways
- Choose between atropine or glycopyrillate for pre-medication in intubation to prevent bradycardia and dry oral secretions.
- Consider using IV lidocaine to decrease intracranial pressure before intubation, although its effectiveness and use vary among providers.
Deep dives
Pre-medication and its use in intubation
Pre-medication prior to intubation is institution-specific and can vary. Infants may require pre-medication like atropine or glycopyrillate to prevent bradycardia and reduce secretions. Atropine and glycopyrillate also serve to dry up oral secretions. Ketamine may be used as an induction agent with glycopyrillate to counteract increased secretions with repeated or continuous use. The choice between atropine and glycopyrillate often depends on the provider's comfort level.
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