medicaltransient
Forum Lieutenant
- 162
- 32
- 28
My boss wants to use this protocol for RSI. I wanted to use the AEL protocol
The main problem I have is no amnesia from Fentanyl in post intubation.
I'm just going to copy down the short and sweet of it.
There is a long list of contraindications, some are less than 2 yrs of age, epiglottis. all the regular stuff.
Premedication
Lidocaine-used if susspected head injury or asthma.
Dosage 1 to 1.5 mg/kg
Atropine-used in bradycardic adults and in children less than 6 to 8 years of age to reduce the risk of bradycardia
Dosage .5 mg IVP for adults exhibiting bradycardia or children less than 3
Sedate and paralzye patient using appropriate medication dose
Versed will be used as sedative/hypnotic
Adult dose .1 -.15 mg/kg
Pediatric dose .03 mg/kg
Succinylcholine as a paralytic
Adult Dose 1-2 mg/kg with max of 150mg
Infant dose 2mg/kg
Insert endotracheal tube with direct visualization and confirm with lung sounds and carbon monoxide device
Rocuronium for ongoing paralysis of successful intubated patients
Dosage 1 mg/kg max of 150
Fentanyl for analagesia
Adult dosage 1-2 mcg/kg
Pediatric dosage: 1-4 mcg/kg
Monitor patient with assessment and vital signs every 5 min.
The main problem I have is no amnesia from Fentanyl in post intubation.
I'm just going to copy down the short and sweet of it.
There is a long list of contraindications, some are less than 2 yrs of age, epiglottis. all the regular stuff.
Premedication
Lidocaine-used if susspected head injury or asthma.
Dosage 1 to 1.5 mg/kg
Atropine-used in bradycardic adults and in children less than 6 to 8 years of age to reduce the risk of bradycardia
Dosage .5 mg IVP for adults exhibiting bradycardia or children less than 3
Sedate and paralzye patient using appropriate medication dose
Versed will be used as sedative/hypnotic
Adult dose .1 -.15 mg/kg
Pediatric dose .03 mg/kg
Succinylcholine as a paralytic
Adult Dose 1-2 mg/kg with max of 150mg
Infant dose 2mg/kg
Insert endotracheal tube with direct visualization and confirm with lung sounds and carbon monoxide device
Rocuronium for ongoing paralysis of successful intubated patients
Dosage 1 mg/kg max of 150
Fentanyl for analagesia
Adult dosage 1-2 mcg/kg
Pediatric dosage: 1-4 mcg/kg
Monitor patient with assessment and vital signs every 5 min.