Airway management

Induction Agents for Tracheal Intubation in Critically Ill Patients

Crit Care MedPublished Narrative review

Authors' conclusion

Although no definitive conclusions can be drawn based on the available evidence, recent evidence pointed out the potential negative effect of etomidate on survival and the association of propofol with cardiovascular instability.

Study context

Population
Critically ill patients undergoing tracheal intubationRCTs and observational studies
Comparison
Etomidate vs ketamine vs propofol as induction agents
Methodological detailsconcise definitive review, PubMed search
  • Concise definitive review
  • PubMed search

Main finding

As reported in the abstract

  • Etomidate may carry a non-negligible mortality risk without definitive hemodynamic benefits vs ketamine
  • Large observational study: propofol associated with post-intubation cardiovascular instability
  • No multicentre RCTs compare propofol with other induction agents

Original publication

Induction Agents for Tracheal Intubation in Critically Ill Patients. Crit Care Med. Published 22 November 2024. doi:10.1097/ccm.0000000000006506

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