Endotracheal Intubation: RSI with Rocuronium / Ketamine

[2704heatherwolf]

they tried to intubate me and i was fully awake in respitory distress it was very uncomfortable

[SuperWarking]

Just out of curiosity, why did they not use the padded wrist restraints? Speaking for myself, everytime I have checked on someone who was intubated has had the restraints placed prior to the intubation attempt.

[dannjonnes]

@SuperWarking It would have been helpful before the dose of Ketamine/Roc. It would have allowed the nurses to focus on other things than the patients hands. But, you can see how quickly the drugs worked. The choice of Ketamine and Roc are interesting to me. Would have liked to see the vitals before induction. ><

[SuperWarking]

@dannjonnes Very true. Personally, regardless of pt status, I would ultilize wrist and ankle restraints unless using restraints would somehow do more harm than good which honestly for the most part, retraints are very helpful. I don't know why, but seeing an intubation attempt made without restraints is a big pet peeve of mine. True, those drugs work quick, however, chances are if one is arriving and has to be intubated, there won't be much time to find out allergies

[jabr0501]

Nice!



[brokennaddicted]

kept letting go of the ET tube. FAIL

[DrSkawman]

@brokennaddicted FALI? Thorax has good expansion, SpO2 is 100% and capnometry has a curve... Letting go of the tube for a few seconds during a controled situation with a paralized patient is not big deal.