Why the study?
Prehospital rapid sequence induction of anaesthesia has significant associated risk, prompting investigation of the haemodynamic response over time to a fentanyl, ketamine, and rocuronium protocol in trauma patients.
Does a prehospital rapid sequence induction protocol of fentanyl, ketamine, and rocuronium cause significant haemodynamic instability in trauma patients?
Does a prehospital rapid sequence induction protocol of fentanyl, ketamine, and rocuronium cause significant haemodynamic instability in trauma patients?
Prehospital induction of anaesthesia for trauma with fentanyl, ketamine, and rocuronium is generally hemodynamically stable, though a minority of patients experience significant delayed hypotension regardless of the dose regimen.
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Protocol linked to minimal haemodynamic change in most trauma patients; leaves open need for vigilance against delayed hypotension irrespective of dosing.
Avest et al. (2021) studied this question.
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