{"id":91,"date":"2013-10-20T19:01:23","date_gmt":"2013-10-20T19:01:23","guid":{"rendered":"http:\/\/www.modestosurgery.com\/surgeryblog\/?p=91"},"modified":"2013-10-20T19:06:28","modified_gmt":"2013-10-20T19:06:28","slug":"etomidate-drug-for-anesthetic-induction","status":"publish","type":"post","link":"http:\/\/www.modestosurgery.com\/surgeryblog\/etomidate-drug-for-anesthetic-induction\/","title":{"rendered":"Etomidate &#8211; drug for anesthetic induction"},"content":{"rendered":"<h2>Etomidate<\/h2>\n<p><a href=\"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-content\/uploads\/2013\/10\/Etomidate.jpeg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-92\" alt=\"Etomidate Vial\" src=\"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-content\/uploads\/2013\/10\/Etomidate.jpeg\" width=\"195\" height=\"274\" \/><\/a><\/p>\n<h3>Background info<\/h3>\n<ul>\n<li>Imidazole<\/li>\n<li>Short acting IV anesthetic<\/li>\n<li>Hypnotic effects<\/li>\n<li>Amnestic properties, no analgesic properties<\/li>\n<li>works through the GABA adrenergic system<\/li>\n<li>Used often in Rapid Sequence Intubation<\/li>\n<li>Short duration of action, rapid onset<\/li>\n<li>Excellent hemodynamic profile<\/li>\n<li>Cerebroprotective effects including reduction of intracranial pressure. \u00a0Used with patients with traumatic brain injury.<\/li>\n<li>Etomidate has hemodynamic stability which is better than all other induction agents except possibly Ketamine.<\/li>\n<li>Post operative vomiting is more common with Etomidate than with other induction agents.<\/li>\n<li>Requires a slow push for intubation induction otherwise one will get trismus<\/li>\n<li>Onset of action is 30-60 seconds.<\/li>\n<\/ul>\n<h3>Etomidate and Adrenal Insufficiency<\/h3>\n<ul>\n<li>Adrenal supression: \u00a0inhibits cortisol production of the adrenal gland<\/li>\n<li>Etomidate reversibly inhibits 11-beta-hydroxylase<\/li>\n<li>Etomidate is no longer used for continuous sedation<\/li>\n<\/ul>\n<h3>Signs and Symptoms of Adrenal Insufficiency<\/h3>\n<ul>\n<li>Hypotension<\/li>\n<li>Orthostatic Hypotension<\/li>\n<li>Weakness<\/li>\n<li>Dizziness<\/li>\n<li>Hypoglycemia<\/li>\n<li>Dehydration<\/li>\n<li>Weightloss<\/li>\n<li>Nausea<\/li>\n<li>Vomiting<\/li>\n<li>Diarrhea<\/li>\n<li>Cardiovascular collapse<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Etomidate Background info Imidazole Short acting IV anesthetic Hypnotic effects Amnestic properties, no analgesic properties works through the GABA adrenergic system Used often in Rapid Sequence Intubation Short duration of action, rapid onset Excellent hemodynamic profile Cerebroprotective effects including reduction of intracranial pressure. \u00a0Used with patients with traumatic brain injury. Etomidate has hemodynamic stability which &hellip; <a href=\"http:\/\/www.modestosurgery.com\/surgeryblog\/etomidate-drug-for-anesthetic-induction\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Etomidate &#8211; drug for anesthetic induction<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[47,184,185,186],"tags":[],"class_list":["post-91","post","type-post","status-publish","format-standard","hentry","category-adrenal","category-drugs-for-surgeons","category-etomidate","category-ketamine"],"_links":{"self":[{"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/posts\/91","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/comments?post=91"}],"version-history":[{"count":3,"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/posts\/91\/revisions"}],"predecessor-version":[{"id":95,"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/posts\/91\/revisions\/95"}],"wp:attachment":[{"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/media?parent=91"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/categories?post=91"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/tags?post=91"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}