International Journal of Science and Research (IJSR)

International Journal of Science and Research (IJSR)
Open Access | Fully Refereed | Peer Reviewed

ISSN: 2319-7064




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Review Papers | Medicine | Indonesia | Volume 10 Issue 10, October 2021


Rapid Sequence Intubation in Head Trauma - Traumatic Brain Injury on Adults: A Literature Review

Julian Welly Sualang


Abstract: Deciding on appropriate drug administration for traumatic brain injury (TBI) patients undergoing intubation can be scary and confusing. Pre - treatment with lidocaine and/or vecuronium is no longer recommended; however, high doses of fentanyl can be used to help blunt the sympathetic stimulation of intubation. Induction with etomidate is recommended; However, ketamine may be considered in appropriate patient populations, such as hypotension. Paralysis can be performed with succinylcholine or rocuronium, with a warning that rocuronium may cause delays in proper neurologic examination because: prolonged paralysis. Recommendations for continuous post - intubation sedation including the combination of propofol and fentanyl in normotensive/hypertensive patient population. The combination of midazolam and fentanyl or ketamine alone may be considered ina hypotensive patient.


Keywords: rapid sequence intubation, traumatic brain injury (TBI), intubation, ketamine, emergency medicine, rocuronium, succinylcholine, pre - treatment, induction agents, intracranial pressure


Edition: Volume 10 Issue 10, October 2021,


Pages: 992 - 996


How to Cite this Article?

Julian Welly Sualang, "Rapid Sequence Intubation in Head Trauma - Traumatic Brain Injury on Adults: A Literature Review", International Journal of Science and Research (IJSR), https://www.ijsr.net/get_abstract.php?paper_id=SR211018181409, Volume 10 Issue 10, October 2021, 992 - 996

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