- 4,520
- 3,243
- 113
(one of the reasons I like morphine over fent is because it more gradually loses effect over time)
This is a really good point, which I don't think I've ever considered.
Some services opposed to giving their medics neuromuscular blocks, still have high dose benzo admin to knock the patient down to the point of intubation. Which I think is foolish because it does the same thing in a less optimal and less safe way.
The idea of disallowing NMB's (ostensibly because neuromuscular blockade "is dangerous"), yet allowing such high doses of sedatives that respiratory drive and airway reflexes are mitigated anyway - yet good intubating conditions are anything but assured - drives me absolutely insane.
But that's a whole other topic for a whole other thread