Endotracheal intubation part (4): Sedatives and paralytics

The commonly used sedatives and paralytics in endotracheal intubation will be discussed in this video, we discuss the commonly used agents in RSI, like etomidate, ketamine, propofol, and midazolam. also, we discussed the commonly used neuromuscular blocking agents (paralytics) like succinylcholine, rocuronium, and vecuronium. we discuss what to use in different clinical scenarios, also how to use these agents and in which sequence
Endotracheal intubation video series:
• Endotracheal intubation
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[@chalweranney9796]

Thank you for this video, Dr. Maher Alrahamneh, MD; you broke the information down in a manner that makes so much sense by answering RSI's why, what, and how questions. Thank you so much, sir for you well defined manner of teaching

[@glanceaway]

Thank you for this very informative video.

[@revathiaalla5360]

Very informative video,with good explanation about side effects ..

[@jitendrakumarsrivastava9200]

Wow great sir excellent teaching

[@bahiachibi895]

Amazing

[@puvvalanaveenkumar3006]

Thanks a lot Dr

[@mohammadaw5418]

thank u too much Dr

[@aswinkutan]

Thank you

[@Hospitalista]

You're welcome

[@hebahalrahamneh9922]

How much it is useful, but if u add the chart in the comments that’s will be great 👍🏻

[@drdr3718]

If rocuronium is best than succinylcoline, why should you use the last one?

[@Hospitalista]

Am not saying it’s best, am saying it will save us the headache of thinking of succinylcholine contraindications especially if we don’t know the patient well and don’t have time to review the patient chart

[@tapentadol549]

You need practical exposure to clinical situation in real time. Then you easily understood what is being taught.

[@bhargavasitiraju7257]

Can you explain the mechanism of howeach muscle relaxant use happens when planning for Intubation.purpose. What are the signs to observe From first finding to last.finding

[@Hospitalista]

This not an easy question, during intubation we don't have the luxury to wait and observe for these signs unlike when we paralyze patients who are already intubated on the ventilator. What I can say that we sedate, paralyze, then intubate, leave 30-60 seconds between each step in this sequence if patient conditions permits. Remember that an adequately paralyzed patient will stop have any spontaneous breath.

[@alexshatner3907]

@@Hospitalista I have a question; I had an upper endoscopy and I was given 100 Micro grams of Fentanyl during the 20 minute procedure, and Doctor added Versed for anxiety. When I woke up from the sedation I had major dizziness, and Nausea, and headache as I wanted to throw up really bad when I was taken to my car as a passenger of course, but my question is was it the Fentanyl that caused the bad reaction? or was it the Versed? Just to next time so I don't ask for Versed again due to nervousness?

[@zukrayinoyu]

Ketamine cause HYPO or HYPER tension?

[@vidad3820]

It causes catecholamine release, so hypertension. However, if the patient has no catecholamines to release, you may see hypotension.

[@javadaghrab5687]

Agents like propofol ,benzoyl should be dosed as ideal body weight. Example a 400 pound pt can't be given nearly 55 mg of benzoyl this will lead to a disaster same thing for nonedelopraizibg agents. SUX however can be dose on actual body weight. YOUR THOUGHS TO EVERYONE ❤