2020年4月14日 星期二

插管用藥整理 Intubation medication



插管用藥
Midazolam (Dormicum)
Onset: 60-90 sec
Duration: 1~4 hours
Dose: 0.1-0.3mg/kg IV
Pros:  
Cons: hypotension
Ketamine
Onset: 30 sec
Duration: 5~15min
Dose: 1-2 mg/kg IV
Pros: For shock, pain control, brochodilation
Cons: ICP↑、CO
Etomidate
Onset:15-45 sec
Duration:3~12min
Dose: 0.3mg/kg IV
Pros: For shock, ICP
Cons: Adrenal suppression
Propofol
Onset: 15-45 sec
Duration: 5~10min
Dose: 1-2mg/kg IV
Pros: ICP, Seizure control, bronchodilation
Cons: hypotension, propofol infusion syndrome
Thiopental
Onset: 30 sec
Duration: 5~10min
Dose: 3-5mg/kg IV
Pros: ICP, Seizure control
Cons: hypotension, bronchospasm