- Joined
- Mar 12, 2005
- Messages
- 5,863
- Reaction score
- 143
YA FEEL ME?
Our anesthesia pillars teach us as residents that etomidate should be considered and utilized as an induction agent when, as I understand it, cutting thru the chase, (ok I'll cut thru the chase)hypotension isn't desirable on induction, (is hypotension ever desirable on induction? Lol) and that etomidate ameliorates one's concern of hypotension on induction. It is touted as a more hemodynamically stable induction agent.
So you're presented with a 66 y/o male, previous CABG 3 years ago, doing well so far, also has hypertension, diabetes type 2, 110 kg, nice looking airway tho, for a laparoscopic cholecystectomy.
My thought process is I'll adjust my propofol induction dose accordingly rather than use etomidate. For several reasons.
Chime in, residents, attendings, and med students (you gotta have Extreme SWAG to post as a med student on this conversation btw, but there's a few of you out there, I know fur sure)
Will you consider etomidate? Why? Why not?
WHATCHA GOT?
Our anesthesia pillars teach us as residents that etomidate should be considered and utilized as an induction agent when, as I understand it, cutting thru the chase, (ok I'll cut thru the chase)hypotension isn't desirable on induction, (is hypotension ever desirable on induction? Lol) and that etomidate ameliorates one's concern of hypotension on induction. It is touted as a more hemodynamically stable induction agent.
So you're presented with a 66 y/o male, previous CABG 3 years ago, doing well so far, also has hypertension, diabetes type 2, 110 kg, nice looking airway tho, for a laparoscopic cholecystectomy.
My thought process is I'll adjust my propofol induction dose accordingly rather than use etomidate. For several reasons.
Chime in, residents, attendings, and med students (you gotta have Extreme SWAG to post as a med student on this conversation btw, but there's a few of you out there, I know fur sure)
Will you consider etomidate? Why? Why not?
WHATCHA GOT?
Last edited: