Tracheal Intubation Medications

Overview

4.5 out of 5 (26 Reviews)

Credits

1.00

Post Assessment Questions

5

Start Date

1 Sep 2023

Last Review Date

1 Sep 2023

Expiration Date

31 Aug 2026

Estimated Time To Finish

60 Minutes


 
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Activity Description

Endotracheal intubation is indicated in many clinical settings, such as impending respiratory failure and when protecting the patient airway. The following describes the most common medications used for rapid sequence intubation of the pediatric patient in an emergency setting. It represents a reasonable approach for individuals who are not anesthesia or critical care specialists. The process of endotracheal intubation is not reviewed; however, the following are a few critical points regarding the procedure. In most cases, endotracheal intubation is a semi-urgent procedure. Commonly used premedications including fentanyl, midazolam, and atropine; induction agents including etomidate and ketamine; paralytics including rocuronium and succinylcholine; and reversal agents including naloxone, flumazenil, and paralytics are reviewed. This activity outlines the indications, mechanism of action, methods of administration, important adverse effects, contraindications, toxicity, and monitoring, of agents used to facilitate tracheal intubation, so providers can direct patient therapy where they are indicated as part of the interprofessional team.

Target Audience

This activity has been designed to meet the educational needs of physicians, physician associates, nurses, pharmacists, and nurse practitioners.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

  • Explain how the various agents used to facilitate intubation are useful in the process of intubating a patient.
  • Review the various mechanisms of action of common intubation medications.
  • Identify the most prevalent adverse effects associated with the various intubation medications.
  • Summarize interprofessional team strategies for improving care coordination and communication to properly use medications to facilitate tracheal intubation to improve patient outcomes.

Disclosures

StatPearls, LLC requires everyone who influences the content of an educational activity to disclose relevant financial relationships with ineligible companies that have occurred within the past 24 months. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. All relevant conflict(s) of interest have been mitigated. Hover over contributor names for financial disclosures. Others involved in planning this educational activity have no relevant financial relationships to disclose.

Commercial Support: This activity has received NO commercial support.

Continuing Education Accreditation Information

In support of improving patient care, StatPearls, LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

 

Nurses: StatPearls designates this activity for 1.00 ANCC contact hour(s). Nurses should only claim credit commensurate with the extent of their participation in the activity.

Please consult your professional licensing board for information on the applicability and acceptance of continuing education credit for this activity.

Method of Participation and Credit

  1. Register for the activity.    
  2. Review the target audience, learning objectives, and disclosure information.
  3. Study the educational content of the enduring material.
  4. Choose the best answer to each activity test question. To receive credit and a certificate, you must pass the test questions with a minimum score of 100%.
  5. Complete the post-activity assessment survey.

If you have concerns regarding the CE/CME system, please contact support@statpearls.com.

Disclaimer

This educational activity was planned and produced in accordance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education. Faculty may discuss investigational products or off-label uses of products regulated by the US Food and Drug Administration. Readers should verify all information before employing any therapies described in this educational activity.

The information provided for this activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition. The information presented does not necessarily reflect the views of StatPearls or any commercial supporters of educational activities on statpearls.com. StatPearls expressly disclaims responsibility for any adverse consequences resulting directly or indirectly from information in the course, for undetected error, or through a participant's misunderstanding of the content.

Unapproved Uses of Drugs/Devices: In accordance with FDA requirements, the audience is advised that information presented in this continuing education activity may contain references to unlabeled or unapproved uses of drugs or devices. Please refer to the FDA-approved package insert for each drug/device for full prescribing/utilization information.

Cancellation Policy: Please see the cancellation policy. StatPearls, LLC reserves the right to cancel any course due to unforeseen circumstances.

 

 
 

Reviews

cynthia z. on 2/26/2021

Christopher C. on 8/18/2021

Lisa S. on 8/21/2021

Justin L. on 10/23/2021

VERNA J. on 1/22/2022

Peter S. on 4/4/2022

Wojciech F. on 6/8/2022

Alyssa B. on 8/16/2022

Amanda F. on 9/12/2022

Lian L. on 9/13/2022

Annamma J. on 9/29/2022

Chelsea H. on 10/22/2022

Marissa A. on 11/4/2022

Bambi R. on 12/8/2022

Douglas M. on 12/12/2022

Garrett P. on 12/29/2022

Gregory V. on 12/29/2022

Nicole M. on 1/1/2023

Jose R. on 2/14/2023

Brantley W. on 4/3/2023

Urvil P. on 5/5/2023

James M. on 5/10/2023

Perhaps a walk through of steps in the entire process would help. If I walked into a room with my RSI kit, what is the step by step process and why?

Cheryl J. on 10/8/2023

Dayan C. on 10/9/2023

Gursimar S. on 1/4/2024

Nithya P. on 3/27/2024

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