Search

Home > Emergency Medical Minute > Podcast 702: Paralytic Awareness
Podcast: Emergency Medical Minute
Episode:

Podcast 702: Paralytic Awareness
Category: Science & Medicine
Duration: 00:02:55
Publish Date: 2021-08-09 10:00:00
Description:

Contributor: Aaron Lessen, MD

Educational Pearls:

  • Known risk factors for being awake and paralyzed in the OR include only receiving IV medications, long-acting paralytics, and no formal monitoring system for being awake
  • The ED-AWARENESS study, a prospective single-center study found 2.6% of patients with induced paralysis during mechanical ventilation were aware
  • Rocuronium was a risk factor for developing awareness while paralyzed in this study
  • Ensure adequate sedation during paralysis for mechanical ventilation in the ED setting, especially when using rocuronium

References

Pappal RD, Roberts BW, Mohr NM, et al. The ED-AWARENESS Study: A Prospective, Observational Cohort Study of Awareness With Paralysis in Mechanically Ventilated Patients Admitted From the Emergency Department. Ann Emerg Med. 2021;77(5):532-544. doi:10.1016/j.annemergmed.2020.10.012

Pappal RD, Roberts BW, Winkler W, Yaegar LH, Stephens RJ, Fuller BM. Awareness With Paralysis in Mechanically Ventilated Patients in the Emergency Department and ICU: A Systematic Review and Meta-Analysis. Crit Care Med. 2021;49(3):e304-e314. doi:10.1097/CCM.0000000000004824

 

The Emergency Medical Minute offers AMA PRA Category 1 credits™ via online course modules. For more information and to access this content,, visit our website at www.emergencymedicalminute.org/cme-courses/ and create an account. 

Donate to EMM today!
Total Play: 0

Users also like

800+ Episodes
Radioresepsj .. 700+     10+
20+ Episodes
Lung Story S .. 70+     10+