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Trauma, Vol. 6, No. 3, 217-224 (2004)
DOI: 10.1191/1460408604ta317oa

Emergency induction of anaesthesia in the prehospital setting: a review of the anaesthetic induction agents

J Easby

James Cook University Hospital, Cleveland, UK, j.easby{at}ntlworld.com

C Dodds

James Cook University Hospital, Cleveland, UK

The standard of prehospital care is improving in many trauma systems around the world. For patients surviving the primary injury, the optimal prehospital interven tions remain debatable. Current evidence suggests that patients with severe head injury may benefit from advanced airway management, most commonly per formed by rapid sequence induction of anaesthesia and orotracheal intubation. The ‘best choice’ induction agent remains unclear, and choice seems to depend on local preferences and the skill mix of the prehospital care team. In this review we look at the recent evidence for selected hypnotic agents.

Key Words: anaesthesia • etomidate • ketamine • prehospital • propofol • RSI


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