RSI medication preferences

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cchoukal said:
Right, but I'm not talking about inducing without paralysis; I'm talking about not inducing at all. HFNC or bipap, topical, glide.
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You have enough time -- and skill -- for topical?

If so, go for it.

In my experience, there is often not enough time or rarely the combined skill of all clinicians nearby to adequately intubate with topical in urgent/emergent conditions regardless of HFNC/BiPap/Glide.

I believe suggesting to non-anesthesiologists the elimination of NMB is threatening to patients.

Time for non-anesthesiologists (or maybe even anesthesiologists) is better spent, in my opinion, learning rescue devices and cric. I remain surprised how many anesthesiologists are under-trained in cric.

HH
 
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