Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Sep 2015
Randomized Controlled TrialThe effect of single dose etomidate during emergency intubation on hemodynamics and adrenal cortex.
The study aimed to evaluate and compare the effects of a single dose of etomidate and the use of a steroid injection prior to etomidate during rapid sequence intubation on hemodynamics and cortisol levels. ⋯ Administration of methylprednisolone 2-4 minutes prior to etomidate use in emergency situations can prevent adrenal insufficiency in patients undergoing rapid sequence intubation. Moreover, midazolam can be used in low induction doses as an alternative to etomidate.