Etomidate - Critical Care Medications

Review of the sedative Etomidate. 📝 Free Quiz: adv.icu/2Z8GEkQ
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In this lesson I talk about one of our more interesting sedatives, Etomidate. This medication is unlike our other typical sedatives Propofol and Versed. It has a unique profile of effects that may make it quite beneficial in the critically ill patient.
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0:00 Intro
1:44 What is Etomidate?
3:01 Effects Profile
4:27 Adverse Effects
6:12 Dosing
7:20 Uses in Critical Care
8:44 Wrap up
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#ICUAdvantage #Etomidate #Medications

Пікірлер: 53

  • @ICUAdvantage
    @ICUAdvantage2 жыл бұрын

    ❤️🙏🏼 Show your support with an ICU Advantage sticker! 👉🏼 adv.icu/support Notes for this lesson (and all previous lessons) are availably only to KZread and Patreon members. Links to join both here ⬇ ► KZread: adv.icu/ym | ► Patreon: adv.icu/pm

  • @kittyschefelker1932
    @kittyschefelker19322 жыл бұрын

    As an icu / ED pharmacist I find these videos really relevant, concise and well produced!

  • @cassidyburel1009
    @cassidyburel10092 жыл бұрын

    I’m a current paramedic student and I love your videos! They’re easy to understand and break things down well.

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    Great to hear this Cassidy! Really glad you enjoy the videos. Truly my goal is to make the concepts understandable :)

  • @FacundoMD
    @FacundoMD2 жыл бұрын

    ER DOCTOR HERE ! I USED THAT TODAY :) GREAT EM DAY TODAY. STAY SAFE EVERYONE ! 👍🚑🙌

  • @RohanKayani
    @RohanKayani4 ай бұрын

    Summarizes all the high-yield information. Thank you so much!

  • @PreppyPrincess777
    @PreppyPrincess7772 жыл бұрын

    I have changed my major to Dental but I still want to say thank you for continuing to put out superior quality videos to help teach the masses💕✨

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    Very cool! Wishing you all the best and thank you so much Lily!

  • @jollysamuel9384
    @jollysamuel93842 жыл бұрын

    You make everything so simple and user friendly !!! Great informations!!! God bless you🙏🙏🙏

  • @CharlieTheBAMF
    @CharlieTheBAMF2 жыл бұрын

    Ty for this series. RSI meds are so key and you explained it so well

  • @lovelyyume9454
    @lovelyyume94542 жыл бұрын

    Thank you so much, I've learned new things watching this. Thank you so much ^^

  • @paymenomind1604
    @paymenomind16042 жыл бұрын

    In NYC EMS we use 0.3 mg/kg for intubation. No pain management beforehand. Just that and a follow-up of a benzo. We half the dose for synchronized cardioversion.

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    Good to know! Thanks for sharing that. Always good to hear different ways in which things are done. It's a great med though.

  • @Rescue9411
    @Rescue94112 жыл бұрын

    Love this link - still waiting for the Ketamine lesson!

  • @mbalimamba5729
    @mbalimamba57292 жыл бұрын

    Love this channel!! I'm a new ICU RN so this channel is so helpful plus I'm a visual learner! Thank u thank u thank u!!!!

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    You are very welcome!!! :) Really happy to hear the channel is helping in your new role in the ICU.

  • @mohammedhasheem1779
    @mohammedhasheem1779 Жыл бұрын

    Thank you si ❤️

  • @chelzchelzz19
    @chelzchelzz192 жыл бұрын

    Thanks!

  • @idontknowwhy5156
    @idontknowwhy5156 Жыл бұрын

    New subscriber here, and I absolutely love your content ! Very helpful. Keep up your incredible work 👏🏾👍🏾

  • @ICUAdvantage

    @ICUAdvantage

    Жыл бұрын

    Welcome aboard and thanks for the awesome comment!

  • @k.b.9716
    @k.b.97162 жыл бұрын

    Crystal clear.

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    Awesome!

  • @13levels
    @13levelsАй бұрын

    i love this

  • @Jhacker111
    @Jhacker1112 жыл бұрын

    Just peeked at your website and had no idea that you were in my neck of the woods! I work up in Scottsdale but have learned so much from your videos. Hoping that eventually I can be an ICU nurse at BUMC or Osborn, but for now I’m still getting my feet wet as I’ve only been a nurse for a year.

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    Very cool! I actually moved to NC back in May, but I used to work at BUMCP. Great hospital and I'd highly suggest it. Lots of sick patients there. I'd say apply. You've built a good foundation as a nurse and nows a perfect time to move into the ICU if thats what you want. Best of luck to you!

  • @jbotiato31
    @jbotiato312 жыл бұрын

    I Love your lessons they’ve really made me grow as ICU RN

  • @kanndavidson-9152
    @kanndavidson-91522 жыл бұрын

    Thank yoi for this great video from an ED medic!

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    So cool! Glad you enjoyed it!

  • @Flippinpinoy09
    @Flippinpinoy092 жыл бұрын

    Great drug for RSI. Minimizes prop with HD unstable folks.

  • @stephenbritton9297
    @stephenbritton92972 жыл бұрын

    In the field many services are going away from the traditional etomidate/Sucs/Roc or vec for RSI, because of the numerous contraindications of Sucs. Plus, Ketamine + Roc or Vec route requires one less medication to be carried.

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    Interesting to know. I never really liked Sucs. I'd prefer Roc any day. Ketamine is starting to see more use in the hospital now too. Definitely a good drug!

  • @stephenbritton9297

    @stephenbritton9297

    2 жыл бұрын

    @@ICUAdvantage in my area, we have a MASSIVE malignant hyperthermia risk… so Sucs is out for sure!

  • @DavidTiptonJr
    @DavidTiptonJr2 жыл бұрын

    This was such a great video! I haven't checked the notes before, but do they cover the seizure information mentioned in the video? I work in a neuro ICU.

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    No, I just briefly hit on it in the video. It sounds like Etomidate can be used to lower that threshold in some cases when trying to evaluate for seizures. I didn't look too much into it, but perhaps in a future lesson I may go further down that habit hole.

  • @DavidTiptonJr

    @DavidTiptonJr

    2 жыл бұрын

    @@ICUAdvantage I can't imagine this is high on your list but I'm interested in seeing ketamine covered by you guys. It seems to have such a broad swath of applicability! Have a great day Eddie!

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    @@DavidTiptonJr Actually I do have that on the medications series todo list and was thinking of doing it sooner than later. I tried it briefly earlier this year, but for 2022, I'm really going to try to do the medication series as a 2nd video for the week. I think I have a good schedule now that I may be able to actually keep it up. Fingers crossed!

  • @Abbie725

    @Abbie725

    2 жыл бұрын

    @icu advantage - yes thank you for bringing this up. Recently my patient, who was having status epilepticus needed to be intubated for airway protection. Instead of giving etomidate, anesthesia told me that it would lower the seizure threshold and we should give propofol instead.

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    @@Abbie725 very cool and good to know! I could see this potentially coming up with a lot of different patients

  • @kv-vt1wh
    @kv-vt1wh2 жыл бұрын

    My favorite RSI drug 👏

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    It's a goodie

  • @paymenomind1604
    @paymenomind16042 жыл бұрын

    Also, a very interesting side effect: I have found and have confirmed online that if bolused too rapidly, it can actually induce trismus! Making intubation impossible.

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    Interesting! I'll have to look into it more, but good to know and thanks for sharing that info. I guess another reason to add paralytic with RSI :)

  • @AJohnson0325

    @AJohnson0325

    2 жыл бұрын

    You can get myoclonus which is temporary. I haven’t ever heard of a persistant masseter spasm as it’s not a trigger for MH. I’ll have to look into it. Rocuronium will take care of masseter muscle spasm.

  • @paymenomind1604

    @paymenomind1604

    2 жыл бұрын

    @AJohnson0325 by the time the trimus wanes, the effects of the amidate have worn off. I don't have roc or sux in my system, so I'm back to square one.

  • @shanekaervin6733
    @shanekaervin6733 Жыл бұрын

    Can you do a video on Amiodarone, and Precedex?

  • @ICUAdvantage

    @ICUAdvantage

    Жыл бұрын

    kzread.info/dash/bejne/eKSZmLmBoZm-YpM.html And Precedex is coming :)

  • @davidmurray8882
    @davidmurray8882 Жыл бұрын

    Ketamine next sir

  • @Americanfoodreviews
    @Americanfoodreviews Жыл бұрын

    What about unstable AFib? I read etomidate... It's used for sedation but I would hope you'd have ketamine or something on board besides that if you're going to cardiovert and not want to tank the BP anymore.

  • @malkifernando4512
    @malkifernando45122 жыл бұрын

    Please add the caption

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    It should have automatic captions. I know they aren't the best, but theres no easy way to do the manual captions and right now I just don't have time to do them manually myself. So sorry

  • @rakshak_bhardwaj97
    @rakshak_bhardwaj972 жыл бұрын

    Hello sir, i am from india and i am a new subscriber of your channel, i want to learn from your videos. Can you switch on the "Hindi" language subtitle on your all videos pls???

  • @thomasjohnson3698
    @thomasjohnson36982 жыл бұрын

    Please do a ketamine video ! You’re great !

  • @cubsfan5734
    @cubsfan5734 Жыл бұрын

    its not related to propofol