They say that anesthesiology is 95% comfy and relaxed and the other 5% is “oh shit”! It’s a great career choice — pretty flexible hours, great patient contact, broad spectrum medicine, crisis management, leadership role, etc. There happened to be an interesting case in the OR — awake tracheostomy for a patient coming in from home.
Tag: Tracheal intubation
A study out of Turkey… Curious to see how this works in our ASA 3 and 4 CABG cases. The comparison of the effects of dexmedetomidine, fentanyl and esmolol on prevention of hemodynamic response to intubation. Rev. Bras. Anestesiol. vol.64 no.5 Campinas Sept./Oct. 2014
Related Articles Intubating the combative patient (kevinmd.com) Blunting hemodynamic response to tracheal intubation #anesthesia (krissymd06.wordpress.com)
https://secure.muhealth.org/~ed/students/articles/AnesthAnalg_72_p0482.pdf This is an older study done that looked at placebo, lidocaine, fentanyl, and esmolol to blunt the effects of tracheal intubation/DL that typically occurs with it. They looked at MAP/SBP and HR. From their data, it appears that esmolol is the winner. However, the doses of medication were not titrated to body weight. It