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Medication for Airway Management

Date Last Search Run: Feb 01, 2022
Table last updated: May 05, 2021
Data last added: Feb 01, 2020

Recommendation RECOMMENDATION FOR INTERVENTION
STRENGTH OF EVIDENCE FOR INTERVENTION   SUPPORTIVE (Green) NEUTRAL (Yellow) AGAINST (Red) NOT YET GRADED (White)
1 (strong evidence exists)      
2 (fair evidence exists)      
3 (weak evidence exists)    


Interventions

Rapid Sequence Induction
Level Direction Primary Outcome Patient/Process Setting Reference
III Supportive (Green) Hospital mortality and 6-month functional outcome. Patient PH-Paramedic & CCT Heschl S., Meadley B., Andrew E., Butt W., Bernard S., Smith K. Efficacy of pre-hospital rapid sequence intubation in paediatric traumatic brain injury A 9-year observational study. Injury 2018; 49(5) 916-20. Medline
III Supportive (Green) Efficacy Patient Zuckerbraun NS., Pitetti RD., Herr SM., Roth KR., Gaines BA., King C. Use of etomidate as an induction agent for rapid sequence intubation in a pediatric emergency department. Acad Emerg Med 2006; 13(6):602-609. Medline
III Neutral (Yellow) Complications Patient PH-Paramedic Brownstein D., Shugerman R., Cummings P., et al. Prehospital endotracheal intubation of children by paramedics. Ann Emerg Med 1996; 28:34-9. Medline

RSI (CCT)
Level Direction Primary Outcome Patient/Process Setting Reference
III Supportive (Green) First look success Process Burns BJ., Watterson JB., Ware S., Regan L., Reid C. Analysis of Out-of-Hospital Pediatric Intubation by an Australian Helicopter Emergency Medical Service. Ann Emerg Med 2017; 70(6):773-82.e4. Medline
III Supportive (Green) Success rate Patient PH-Paramedic Sing R., Reilly P., Rotondo M., et al. Out-of-hospital rapid-sequence induction for intubation of the pediatric patient. Acad. Emerg Med 1996; 3:41-45. Medline

Sedation
Level Direction Primary Outcome Patient/Process Setting Reference

Sedation (CCT)
Level Direction Primary Outcome Patient/Process Setting Reference

Topical anaesthetic
Level Direction Primary Outcome Patient/Process Setting Reference


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