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

How to Cite?: Julian Welly Sualang, "Rapid Sequence Intubation in Head Trauma - Traumatic Brain Injury on Adults: A Literature Review", Volume 10 Issue 10, October 2021, International Journal of Science and Research (IJSR), Pages: 992-996, https://www.ijsr.net/getabstract.php?paperid=SR211018181409, DOI: https://dx.doi.org/10.21275/SR211018181409