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Home > Emergency Medical Minute > Podcast 803:  Sedation During Intubation
Podcast: Emergency Medical Minute
Episode:

Podcast 803:  Sedation During Intubation

Category: Science & Medicine
Duration: 00:03:07
Publish Date: 2022-08-08 13:29:58
Description:

Contributor: Aaron Lessen, MD

Educational Pearls:

  • Awareness with recall of paralysis can occur in intubated and ventilated patients receiving paralytic medications
    •  Patients who suffer from this effect are at high risk of developing severe PTSD, depression, and suicidal ideations
    • Occurs in approximately 0.1-0.2% of patients undergoing general anesthesia in an OR setting
  • 2021 study showed patients intubated in the ED have a much higher rate of experiencing awareness during intubation
    • 2.6% chance of awareness in patients undergoing intubation and mechanical ventilation in the ED
    • Higher rates with rocuronium likely due to its longer duration of action
  • New follow up study from 2022 showed 3.4% of patients aware when paralyzed for mechanical ventilation in ED
    • 5.5% of patients receiving rocuronium had awareness occur
    • Patients who received other paralytics had a
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