- Joined
- Dec 6, 2000
- Messages
- 4,226
- Reaction score
- 17
Since there was such a good discussion on shoulder dislocations and preferred techniques, i thought it'd be interesting to see people's choices on conscious sedation medications...
I'm trying to use as many different combos that I can, but I find that I'm using either Etomidate (.15 mg/kg) or Versed/MS04. I've never tried Diprivan, actually.
A few months ago I had a R shoulder dislocation. I got the paperwork for CS all ready and had the medical student get ready too. I had planned to do it in about 10 minutes or so (was going to give the guy some O2 via NRB... he had comorbid disease), well, I at the nursing station, I ask the nurse to draw up Etomidate... he asked me how much I wanted to give, and I said "well I figger we'll start out at 6." Keep in mind that no one was prepared (airway tray wasn't in the room, he wasn't hooked up yet on telemetry, etc). Next thing I know two minutes later when I walk back into the patietns' room (after I told the charge nurse we would be doing some conscious sedation), he's unresponsive (but still breathing). I said "OH MY GOD WHAT HAPPENED." The nurse looked at me and said "I gave him the Etomidate." UGH!
Anyways, lesson learned (and my attending told me to do this from now on, as its his policy) is to draw up your Etomidate and push it yourself.
Q, DO
I'm trying to use as many different combos that I can, but I find that I'm using either Etomidate (.15 mg/kg) or Versed/MS04. I've never tried Diprivan, actually.
A few months ago I had a R shoulder dislocation. I got the paperwork for CS all ready and had the medical student get ready too. I had planned to do it in about 10 minutes or so (was going to give the guy some O2 via NRB... he had comorbid disease), well, I at the nursing station, I ask the nurse to draw up Etomidate... he asked me how much I wanted to give, and I said "well I figger we'll start out at 6." Keep in mind that no one was prepared (airway tray wasn't in the room, he wasn't hooked up yet on telemetry, etc). Next thing I know two minutes later when I walk back into the patietns' room (after I told the charge nurse we would be doing some conscious sedation), he's unresponsive (but still breathing). I said "OH MY GOD WHAT HAPPENED." The nurse looked at me and said "I gave him the Etomidate." UGH!
Anyways, lesson learned (and my attending told me to do this from now on, as its his policy) is to draw up your Etomidate and push it yourself.
Q, DO