Читать книгу Emergency Medical Services - Группа авторов - Страница 108

Sedation‐assisted intubation is intubation using a sedative agent only, without concurrent neuromuscular blocking agents [7579–83]. Medications used to facilitate intubation in this manner include benzodiazepines (midazolam or diazepam), etomidate, and ketamine. Sedation‐assisted intubation historically resulted from the belief that intubation is safer without than with the use of neuromuscular blockade. However, critics of the technique note that incomplete ablation of the gag reflex can potentiate the threat of vomiting and aspiration. Also, first‐pass intubation success is optimized with the use of neuromuscular blockade. Consequently, most EMS medical directors strongly discourage the use of sedation‐assisted intubation.