Lignocaine as a pretreatment to rapid sequence intubation in patients with status asthmaticus

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In patients with head injury undergoing rapid sequence intubation, does pretreatment with intravenous lignocaine/lidocaine lead to an improved neurological outcome? A review of the literature.

It is well known that laryngeal instrumentation and endotracheal intubation is associated with a marked, transient rise in intracranial pressure (ICP). Patients with head injury requiring endotracheal intubation are considered particularly at risk from this transient rise in ICP as it reduces cerebral perfusion and thus may increase secondary brain injury. The favoured method for securing a def...

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Pretreatment in rapid sequence intubation: Indicated or contraindicated?

To the Editors: In response to Kuzak and associates’ Original Research article on the use of lidocaine and fentanyl premedication for neuroprotective rapid sequence intubation (RSI) in the emergency department (ED), it is well known that laryngoscopy and intubation is very stimulating and can lead to significant activation of the sympathetic nervous system and a resultant rise in intracranial p...

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INTRODUCTION Pre-hospital intubation by paramedics is widely used in comatose patients prior to transportation to hospital, but the optimal technique for intubation is uncertain. One approach is paramedic rapid sequence intubation (RSI), which may improve outcomes in adult patients with traumatic brain injury. However, many patients present to emergency medical services with coma of non-traumat...

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every day; however, none is more important than effective airway management. The loss of an airway is one of the most common causes of morbidity and mortality in severely ill or injured children. It may occur suddenly, without any warning, and requires immediate action; therefore, all emergency medicine physicians must possess knowledge of the management of an airway using rapid sequence intuba...

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ژورنال

عنوان ژورنال: Emergency Medicine Journal

سال: 2005

ISSN: 1472-0205,1472-0213

DOI: 10.1136/emj.2005.029058