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Use of Etomidate for Rapid Sequence Intubation (RSI) in Pediatric Trauma Patients: An Exploratory National Survey
Journal article   Open access   Peer reviewed

Use of Etomidate for Rapid Sequence Intubation (RSI) in Pediatric Trauma Patients: An Exploratory National Survey

Jeffrey J. Cies, Matthew L. Moront, Wayne S. Moore, Renata Ostrowicki, Kelsey B. Gannon, Shonola S. Da-Silva, Arun Chopra and Jason Parker
Pharmacy, v 3(4)
01 Dec 2015
DOI: https://doi.org/10.3390/pharmacy3040197
PMID: 28975913
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://www.mdpi.com/2226-4787/3/4/197/pdfView
Published, Version of Record (VoR) Open
url
https://doi.org/10.3390/pharmacy3040197View
Published, Version of Record (VoR) Open

Abstract

Life Sciences & Biomedicine Pharmacology & Pharmacy Science & Technology
Objective, To survey the pediatric trauma programs to ascertain if and how etomidate is being used for rapid sequence intubation (RSI) in pediatric trauma patients. Design, A 25 question survey was created using REDCaps. A link to the survey was emailed to each of the pediatric and adult trauma programs that care for pediatric patients. Setting, Pediatric trauma programs and adult trauma programs caring for pediatric patients. Intervention, None. Measurements and Main Results, A total of 16% of programs responded (40/247). The majority of the centers that responded are urban, academic, teaching Level 1 pediatric trauma centers that provide care for > 200 pediatric trauma patients annually. The trauma program directors were the most likely to respond to the survey (18/40). 33/38 respondents state they use etomidate in their RSI protocol but it is not used in all pediatric trauma patients. 26/38 respondents believe that etomidate is associated with adrenal suppression and 24/37 believe it exacerbates adrenal suppression in pediatric trauma patients yet 28 of 37 respondents do not believe it is clinically relevant. Conclusions, Based on the results of the survey, the use of etomidate in pediatric trauma patients is common among urban, academic, teaching, level 1 pediatric trauma centers. A prospective evaluation of etomidate use for RSI in pediatric trauma patients to evaluate is potential effects on adrenal suppression and hemodynamics is warranted.

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UN Sustainable Development Goals (SDGs)

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#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Pharmacology & Pharmacy
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