Rapid sequence intubation - Revision history

Danbot: Move calculators to own section with header (visible in TOC), expanded, before External Links

2026-03-21T15:06:35Z

Move calculators to own section with header (visible in TOC), expanded, before External Links

← Revisión anterior		Revisión del 15:06 21 mar 2026
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	{{Related Difficult Airway Pages}}		{{Related Difficult Airway Pages}}

			== Calculators ==
			{{Ideal_Body_Weight_Calculator}}

	==External Links==		==External Links==
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	==References==		==References==
	<references/>		<references/>


	~~<div class="mw-collapsible mw-collapsed" style="border:1px solid #aaa; padding:5px; margin-top:10px;">~~
	~~<div style="font-weight:bold;">📊 Ideal Body Weight Calculator [show]</div>~~
	~~<div class="mw-collapsible-content">~~
	~~{{Ideal_Body_Weight_Calculator}}~~
	~~</div>~~
	~~</div>~~
	[[Category:Critical Care]]		[[Category:Critical Care]]
	[[Category:Procedures]]		[[Category:Procedures]]
	[[Category:Pharmacology]]		[[Category:Pharmacology]]

Danbot: Add Ideal Body Weight calculator (collapsible)

2026-03-21T13:46:17Z

Add Ideal Body Weight calculator (collapsible)

← Revisión anterior		Revisión del 13:46 21 mar 2026
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	<references/>		<references/>


			<div class="mw-collapsible mw-collapsed" style="border:1px solid #aaa; padding:5px; margin-top:10px;">
			<div style="font-weight:bold;">📊 Ideal Body Weight Calculator [show]</div>
			<div class="mw-collapsible-content">
			{{Ideal_Body_Weight_Calculator}}
			</div>
			</div>
	[[Category:Critical Care]]		[[Category:Critical Care]]
	[[Category:Procedures]]		[[Category:Procedures]]
	[[Category:Pharmacology]]		[[Category:Pharmacology]]

Danbot: Convert RSI drug dosing to MedicationDose template — single source of truth with SMW subobjects

2026-03-20T15:41:33Z

Convert RSI drug dosing to MedicationDose template — single source of truth with SMW subobjects

← Revisión anterior		Revisión del 15:41 20 mar 2026
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	==Premedication==		==Premedication==
	===[[Atropine]]===		===[[Atropine]]===
	''There is no evidence to support the routine use of atropine as a premedication to prevent bradycardia in emergency pediatric intubations<ref>Fleming B, McCollough M; Henderson SO. Myth: Atropine should be administered before succinylcholine for neonatal and pediatric intubation. Can J Emerg Med 2005;7(2):114-7</ref>''		''There is no evidence to support the routine use of atropine as a premedication to prevent bradycardia in emergency pediatric intubations<ref>Fleming B, McCollough M; Henderson SO. Myth: Atropine should be administered before succinylcholine for neonatal and pediatric intubation. Can J Emerg Med 2005;7(2):114-7</ref>''
			*{{MedicationDose\|drug=Atropine\|dose=0.02 mg/kg, no minimum dose\|route=IV\|context=Premedication\|indication=Rapid sequence intubation\|population=Pediatric\|notes=May prevent bradycardia}}
	~~Dosing:~~
	*0.~~02mg~~/kg, no minimum dose ~~(prior minimum 0.1mg no longer recommended)<ref> AHA 2015 guidelines comparison [http://www.sca-aware.org/sites/default/files/comparison_chart_2015_aha_guidelines_for_cpr_and_ecc.pdf full text]</ref>~~
	*May prevent bradycardia
	Relative indications:		Relative indications:
	*Intubation in child < 1 yr old		*Intubation in child < 1 yr old
Línea 15:		Línea 12:

	===[[Lidocaine]]===		===[[Lidocaine]]===
	*1.~~5mg~~/kg		*{{MedicationDose\|drug=Lidocaine\|dose=1.5 mg/kg\|route=IV\|context=Premedication\|indication=Rapid sequence intubation\|population=Adult\|notes=May lower ICP; need 5-10 min prior to RSI}}
	*May lower ICP~~, but~~ need 5-10 ~~minutes~~ prior to RSI
	===[[Fentanyl]]===		===[[Fentanyl]]===
	*3 mcg/kg		*{{MedicationDose\|drug=Fentanyl\|dose=3 mcg/kg\|route=IV\|context=Premedication\|indication=Rapid sequence intubation\|population=Adult\|notes=Blunts sympathetic response (pretreat if concern for increased ICP/BP); should be the last agent given}}
	*Blunts sympathetic response ~~to intubation~~ (pretreat if concern for increased ICP/BP~~, i.e. ICH, aortic dissection~~)
	*Should be the last agent given

	==Induction==		==Induction==
	===[[Etomidate]]===		===[[Etomidate]]===
	~~Dosing:~~		*{{MedicationDose\|drug=Etomidate\|dose=0.2-0.4 mg/kg\|route=IV\|context=Induction\|indication=Rapid sequence intubation\|population=Adult\|onset=1 min\|duration=3-8 min}}
	*0.2-0.~~4mg~~/kg
	*Onset - 1 min
	*Duration - ~~3–8~~ min
	Special Considerations:		Special Considerations:
	*There is concern for adrenal suppression exists regarding etomidate dosing although clinically significant outcomes from transient depression has not been demonstrated. Effects may be greater for pediatric patients<ref>Sokolove PE et al. The safety of etomidate for emergency rapid sequence intubation of pediatric patients. Pediatr Emerg Care. 2000;16(1):18-21.</ref><ref> Dmello D et al. Outcomes of etomidate in severe sepsis and septic shock. Chest. 2010;138(6):1327-1332.</ref><ref>Scherzer D et al. Pro-con debate: etomidate or ketamine for rapid sequence intubation in pediatric patients. J Pediatr Pharmacol Ther JPPT Off J PPAG. 2012;17(2):142-149. doi:10.5863/1551-6776-17.2.142</ref>		*There is concern for adrenal suppression exists regarding etomidate dosing although clinically significant outcomes from transient depression has not been demonstrated. Effects may be greater for pediatric patients<ref>Sokolove PE et al. The safety of etomidate for emergency rapid sequence intubation of pediatric patients. Pediatr Emerg Care. 2000;16(1):18-21.</ref><ref> Dmello D et al. Outcomes of etomidate in severe sepsis and septic shock. Chest. 2010;138(6):1327-1332.</ref><ref>Scherzer D et al. Pro-con debate: etomidate or ketamine for rapid sequence intubation in pediatric patients. J Pediatr Pharmacol Ther JPPT Off J PPAG. 2012;17(2):142-149. doi:10.5863/1551-6776-17.2.142</ref>

	===[[Versed]]===		===[[Midazolam\|Versed]]===
	*~~Dose:~~ 0.2-0.~~3mg~~/kg		*{{MedicationDose\|drug=Midazolam\|dose=0.2-0.3 mg/kg\|route=IV\|context=Induction\|indication=Rapid sequence intubation\|population=Adult\|display=Versed\|onset=1-2 min\|duration=30-60 min}}
	*Onset - ~~1 to~~ 2 min
	*Duration - 30-60 min

	===[[Propofol]]===		===[[Propofol]]===
	*~~Dose:~~ 1-~~3mg~~/kg		*{{MedicationDose\|drug=Propofol\|dose=1-3 mg/kg\|route=IV\|context=Induction\|indication=Rapid sequence intubation\|population=Adult\|duration=10-15 min}}
	*Duration - 10-15 min
	===[[Ketamine]]===		===[[Ketamine]]===
	*~~Dose:~~ 1-~~2mg~~/kg IV or 3-~~4mg~~/kg IM		*{{MedicationDose\|drug=Ketamine\|dose=1-2 mg/kg\|route=IV\|context=Induction\|indication=Rapid sequence intubation\|population=Adult\|duration=30 min}}
	*Duration - 30 min		*{{MedicationDose\|drug=Ketamine\|dose=3-4 mg/kg\|route=IM\|context=Induction (IM)\|indication=Rapid sequence intubation\|population=Adult\|duration=30 min}}

	==[[Neuromuscular blocking agents\|Paralytics]]==		==[[Neuromuscular blocking agents\|Paralytics]]==
	===[[Succinylcholine]]===		===[[Succinylcholine]]===
	~~Dosing:~~		*{{MedicationDose\|drug=Succinylcholine\|dose=1.5 mg/kg\|route=IV\|context=Paralytic\|indication=Rapid sequence intubation\|population=Adult\|onset=45 sec\|duration=4-6 min\|notes=Age >10 years}}
	*1.~~5mg~~/kg IV (>10 ~~y/o)~~		*{{MedicationDose\|drug=Succinylcholine\|dose=2.0 mg/kg\|route=IV\|context=Paralytic\|indication=Rapid sequence intubation\|population=Pediatric\|onset=45 sec\|duration=4-6 min\|notes=Age <10 years}}
	*2.~~0mg~~/kg IV (<10 ~~y/o)~~		*{{MedicationDose\|drug=Succinylcholine\|dose=4 mg/kg\|route=IM\|context=Paralytic (IM)\|indication=Rapid sequence intubation\|population=Adult\|onset=2-3 min\|duration=10-30 min}}
	*~~4mg~~/kg IM
	**Onset: IV- 45s, IM - 2-3 min
	**Duration: IV - 4-6min, IM - 10-~~30min~~
	===[[Rocuronium]]===		===[[Rocuronium]]===
	~~Dosing:~~		*{{MedicationDose\|drug=Rocuronium\|dose=1.2 mg/kg\|route=IV\|context=Paralytic (RSI dose)\|indication=Rapid sequence intubation\|population=Adult\|onset=60 sec\|duration=25-60 min\|notes=Intubation RSI dose}}
	*1.~~2mg~~/kg (intubation RSI dose)		*{{MedicationDose\|drug=Rocuronium\|dose=0.6 mg/kg\|route=IV\|context=Paralytic (repeat)\|indication=Rapid sequence intubation\|population=Adult\|notes=For repeat paralysis}}
	*0.~~6mg~~/kg (~~for~~ repeat paralysis)
	*Onset - 60s
	*Duration- 25-60 min

	===[[Vecuronium]]===		===[[Vecuronium]]===
	~~Dose:~~		*{{MedicationDose\|drug=Vecuronium\|dose=0.1 mg/kg\|route=IV\|context=Paralytic\|indication=Rapid sequence intubation\|population=Adult\|onset=60-90 sec\|duration=65 min\|notes=Agent of choice for prolonged paralysis}}
	*0.~~1mg~~/kg
	*Onset - 60-90 ~~seconds~~
	*Duration - 65 ~~minutes (95% complete recovery)~~
	*agent of choice for prolonged paralysis

	==Trauma RSI==		==Trauma RSI==

Michellejhun: /* Etomidate */

2025-03-29T07:47:52Z

Etomidate

← Revisión anterior		Revisión del 07:47 29 mar 2025
Línea 27:		Línea 27:
	*0.2-0.4mg/kg		*0.2-0.4mg/kg
	*Onset - 1 min		*Onset - 1 min
	*Duration - ~~30-60~~ min		*Duration - 3–8 min
	Special Considerations:		Special Considerations:
	*There is concern for adrenal suppression exists regarding etomidate dosing although clinically significant outcomes from transient depression has not been demonstrated. Effects may be greater for pediatric patients<ref>Sokolove PE et al. The safety of etomidate for emergency rapid sequence intubation of pediatric patients. Pediatr Emerg Care. 2000;16(1):18-21.</ref><ref> Dmello D et al. Outcomes of etomidate in severe sepsis and septic shock. Chest. 2010;138(6):1327-1332.</ref><ref>Scherzer D et al. Pro-con debate: etomidate or ketamine for rapid sequence intubation in pediatric patients. J Pediatr Pharmacol Ther JPPT Off J PPAG. 2012;17(2):142-149. doi:10.5863/1551-6776-17.2.142</ref>		*There is concern for adrenal suppression exists regarding etomidate dosing although clinically significant outcomes from transient depression has not been demonstrated. Effects may be greater for pediatric patients<ref>Sokolove PE et al. The safety of etomidate for emergency rapid sequence intubation of pediatric patients. Pediatr Emerg Care. 2000;16(1):18-21.</ref><ref> Dmello D et al. Outcomes of etomidate in severe sepsis and septic shock. Chest. 2010;138(6):1327-1332.</ref><ref>Scherzer D et al. Pro-con debate: etomidate or ketamine for rapid sequence intubation in pediatric patients. J Pediatr Pharmacol Ther JPPT Off J PPAG. 2012;17(2):142-149. doi:10.5863/1551-6776-17.2.142</ref>

Blsimpso: /* External Links */

2021-07-17T13:50:45Z

External Links

← Revisión anterior		Revisión del 13:50 17 jul 2021
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	==External Links==		==External Links==
	*[http://pemplaybook.org/podcast/adventures-in-rsi/ Adventures in RSI - Pediatric Emergency Playbook]		*[http://pemplaybook.org/podcast/adventures-in-rsi/ Adventures in RSI - Pediatric Emergency Playbook]
	*[https://~~emedicine~~.~~medscape~~.com/~~article~~/~~80222~~-~~overview#showall Medscape~~ - Rapid Sequence Intubation]		*[https://www.merckmanuals.com/professional/critical-care-medicine/respiratory-arrest/drugs-to-aid-intubation?query=rapid%20sequence%20intubation Merk Manual - Drugs to Aid Intubation]
			*[https://emcrit.org/pulmcrit/rapid-sequence-intubation-and-procedurization/ EMCrit - Rapid Sequence Intubation and Procedurization]

	==References==		==References==

Blsimpso: /* External Links */

2021-07-02T13:54:16Z

External Links

← Revisión anterior		Revisión del 13:54 2 jul 2021
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	==External Links==		==External Links==
	*[http://pemplaybook.org/podcast/adventures-in-rsi/ Adventures in RSI - Pediatric Emergency Playbook]		*[http://pemplaybook.org/podcast/adventures-in-rsi/ Adventures in RSI - Pediatric Emergency Playbook]
			*[https://emedicine.medscape.com/article/80222-overview#showall Medscape - Rapid Sequence Intubation]

	==References==		==References==

Elcatracho: /* Postintubation management */

2020-11-21T23:08:23Z

Postintubation management

← Revisión anterior		Revisión del 23:08 21 nov 2020
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	*[[CXR]]		*[[CXR]]
	*Non-violent restraints		*Non-violent restraints
	*Sedation
	*Head of bed to 30° elevation		*Head of bed to 30° elevation
	*Check ABG 30 minutes post-intubation		*Check ABG 30 minutes post-intubation
			*Sedation
	**[[Benzos]]		**[[Benzos]]
	***[[Lorazepam]] 1-4mg bolus; then 0.01-0.1mg/kg/hr (titrate q1hr)		***[[Lorazepam]] 1-4mg bolus; then 0.01-0.1mg/kg/hr (titrate q1hr)

Elcatracho: /* Postintubation management */

2020-11-21T23:08:02Z

Postintubation management

← Revisión anterior		Revisión del 23:08 21 nov 2020
Línea 142:		Línea 142:
	*Non-violent restraints		*Non-violent restraints
	*Sedation		*Sedation
			*Head of bed to 30° elevation
			*Check ABG 30 minutes post-intubation
	**[[Benzos]]		**[[Benzos]]
	***[[Lorazepam]] 1-4mg bolus; then 0.01-0.1mg/kg/hr (titrate q1hr)		***[[Lorazepam]] 1-4mg bolus; then 0.01-0.1mg/kg/hr (titrate q1hr)

Elcatracho: /* Protection and positioning */

2020-11-21T22:12:05Z

Protection and positioning

← Revisión anterior		Revisión del 22:12 21 nov 2020
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	===Protection and positioning===		===Protection and positioning===
	*Sniffing position		*Sniffing position
	*in cervical spine immobilization, use bimanual laryngoscopy and consider adjuncts such as [[bougie]] or [[video laryngoscopy]] if minimal blood in oropharynx		*in cervical spine immobilization, use bimanual laryngoscopy and consider adjuncts such as [[bougie]] or [[Video Laryngoscopy\|video laryngoscopy]] if minimal blood in oropharynx

	===Pass Tube===		===Pass Tube===

Elcatracho: /* Protection and positioning */

2020-11-21T22:11:33Z

Protection and positioning

← Revisión anterior		Revisión del 22:11 21 nov 2020
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	===Protection and positioning===		===Protection and positioning===
	*Sniffing position		*Sniffing position
	*in cervical spine immobilization, use bimanual laryngoscopy and consider adjuncts such as video laryngoscopy if minimal blood in oropharynx		*in cervical spine immobilization, use bimanual laryngoscopy and consider adjuncts such as [[bougie]] or [[video laryngoscopy]] if minimal blood in oropharynx

	===Pass Tube===		===Pass Tube===