دورية أكاديمية
Use of Etomidate for Rapid Sequence Intubation (RSI) in Pediatric Trauma Patients: An Exploratory National Survey.
| العنوان: | Use of Etomidate for Rapid Sequence Intubation (RSI) in Pediatric Trauma Patients: An Exploratory National Survey. |
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| المؤلفون: | Cies JJ; St. Christopher's Hospital for Children, Philadelphia, PA, 19134, USA. jeffrey.cies@gmail.com.; Drexel University College of Medicine, Philadelphia, PA, 19129, USA. jeffrey.cies@gmail.com.; Alfred I duPont Hospital for Children, Wilmington, DE, 19803, USA. jeffrey.cies@gmail.com., Moront ML; St. Christopher's Hospital for Children, Philadelphia, PA, 19134, USA. matthew.morontmd@tenethealth.com.; Drexel University College of Medicine, Philadelphia, PA, 19129, USA. matthew.morontmd@tenethealth.com., Moore Ii WS; Alfred I duPont Hospital for Children, Wilmington, DE, 19803, USA. wayne.mooreII@nemours.org., Ostrowicki R; St. Christopher's Hospital for Children, Philadelphia, PA, 19134, USA. Renata.ostrowicki@tenethealth.com.; Drexel University College of Medicine, Philadelphia, PA, 19129, USA. Renata.ostrowicki@tenethealth.com., Gannon KB; St. Christopher's Hospital for Children, Philadelphia, PA, 19134, USA. Kelsey.gannon@tenethealth.com.; Drexel University College of Medicine, Philadelphia, PA, 19129, USA. Kelsey.gannon@tenethealth.com., Da-Silva SS; St. Christopher's Hospital for Children, Philadelphia, PA, 19134, USA.; Drexel University College of Medicine, Philadelphia, PA, 19129, USA., Chopra A; NYU Langone Medical Center, New York, NY, 10016, USA. arun.chopra@nyumc.org.; NYU School of Medicine, New York, NY, 10016, USA. arun.chopra@nyumc.org., Parker J; St. Christopher's Hospital for Children, Philadelphia, PA, 19134, USA. Jason.parker@tenethealth.com.; Drexel University College of Medicine, Philadelphia, PA, 19129, USA. Jason.parker@tenethealth.com. |
| المصدر: | Pharmacy (Basel, Switzerland) [Pharmacy (Basel)] 2015 Oct 19; Vol. 3 (4), pp. 197-209. Date of Electronic Publication: 2015 Oct 19. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: MDPI AG Country of Publication: Switzerland NLM ID: 101678532 Publication Model: Electronic Cited Medium: Internet ISSN: 2226-4787 (Electronic) Linking ISSN: 22264787 NLM ISO Abbreviation: Pharmacy (Basel) Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Basel, Switzerland : MDPI AG, [2013]- |
| مستخلص: | Objective , To survey the pediatric trauma programs to ascertain if and how etomidate is being used for rapid sequence intubation (RSI) in pediatric trauma patients. Design , A 25 question survey was created using REDCaps. A link to the survey was emailed to each of the pediatric and adult trauma programs that care for pediatric patients. Setting , Pediatric trauma programs and adult trauma programs caring for pediatric patients. Intervention , None. Measurements and Main Results , A total of 16% of programs responded (40/247). The majority of the centers that responded are urban, academic, teaching Level 1 pediatric trauma centers that provide care for > 200 pediatric trauma patients annually. The trauma program directors were the most likely to respond to the survey (18/40). 33/38 respondents state they use etomidate in their RSI protocol but it is not used in all pediatric trauma patients. 26/38 respondents believe that etomidate is associated with adrenal suppression and 24/37 believe it exacerbates adrenal suppression in pediatric trauma patients yet 28 of 37 respondents do not believe it is clinically relevant. Conclusions , Based on the results of the survey, the use of etomidate in pediatric trauma patients is common among urban, academic, teaching, level 1 pediatric trauma centers. A prospective evaluation of etomidate use for RSI in pediatric trauma patients to evaluate is potential effects on adrenal suppression and hemodynamics is warranted. |
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| فهرسة مساهمة: | Keywords: adrenal suppression; etomidate; pediatric; trauma RSI |
| تواريخ الأحداث: | Date Created: 20171005 Latest Revision: 20200930 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC5597104 |
| DOI: | 10.3390/pharmacy3040197 |
| PMID: | 28975913 |
| قاعدة البيانات: | MEDLINE |
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