Hi all
<Quoting>
Available data show that these agents are used much
more frequently in the United States (US) than in the United
Kingdom (UK). Interestingly, this difference in practice
pattern prompted much of the research done in this area.
A survey of US emergency medicine residency program
directors done in 1995 illustrated that of the programs that
responded, 87% used lidocaine, 81% used defasciculation,
and 49% used fentanyl when performing RSI in adults with
elevated ICP.1 In a UK review of 60 emergency intubations, of
which only 26% were performed by emergency physicians, no
patients received lidocaine or defasciculation.2 This variation
in practice patterns exemplifies the lack of consensus opinion
and evidential support.
</Quote>
I would be interested in views on
1. lidocaine as pre-med for RSI in the head injured patient.
2. fentanyl for the same
Are they commonly used in the UK/places other than N America?
How many folks would consider them routine for RSI in this circumstance?
Thanks for any replys :)
--
Jel
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