Guardless in the emergency department and the patient came to a head injury. GCS: 8 and was vomitin

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Guardless in the emergency department and the patient came to a head injury. GCS: 8 and was vomiting while one time. Whether the patient intubated tomography have planned to take. The patient's contractions are also available. Quick Start consecutive intubation and patient nurse to paralyze orders but have given 100 mg of succinylcholine. Eşkıdeml nurses warn you when it was full, "succinylcholine increases intracranial pressure, I chose another agent."
Large enough to give an adequate response to this question, a randomized-controlled trials are not available. menu de vips Succinylcholine increase intracranial pressure is claiming that the majority of studies animal studies. So what conclusions can be drawn from studies conducted on this issue? According to some studies that succinylcholine increases intracranial pressure data is available. Stirt et al., Minton et al., McLeskey et al, their study supports the results of this thesis are hosting. Minton, succinylcholine Stirt studies already been used when a non-paralysis. Outside of this study or in other studies is not a sufficient number of patients menu de vips concerned, or does not comply with the scenario we discuss the clinical scenario.
Only two studies that succinylcholine increases intracranial menu de vips pressure results in these two studies, menu de vips though the number of patients is very small. In addition, this study significantly menu de vips depending on the succinylcholine has been shown a dramatic increase in intracranial menu de vips pressure. It says otherwise, indirect ways of succinylcholine about increasing menu de vips intracranial pressure, indicating menu de vips that it is advantageous publications are also available. Cough reflex less than other agents menu de vips that increase, so that other agents by patients cough more cause increased intracranial publications indicating menu de vips that is in question. In 2008, a Cochrane review (Perry, Lee et al) rocuroniu us succinylcholine in rapid sequence intubation is to say that my superior. Effects of the shortness of time also seems to be an advantage. However, in this review agents have not been compared in terms of side effects. So in this review, there is no information on the effect of intracranial pressure. The result
That succinylcholine increases intracranial pressure is insufficient evidence. For this claim to be valid, new studies are needed. Unless there is sufficient evidence in this study, Rocuronium menu de vips and succinylcholine superiority over other agents menu de vips is apparent paralysis, and therefore the first choice in patients with head injury paralysis as the agent would be wise to use succinylcholine. Other contraindications for succinylcholine (known menu de vips as hyperkalemia) should be preferred if you have any other paralysis.
References: McLeskey CH, GF Cullen, et al. "Control of Cerebral Perfusion Pressure During Induction of Anesthesia in High-Risk Neurosurgical Patients." Survey of Anesthesiology 1976; 20 (1): 30 White, PF, RM Schlobohm, et al. "Randomized Study of Drugs for Preventing Endotracheal Suctioning during Increases in Intracranial Pressure." Anesthesiology 1982; 57 (3): 242-244 Minton, MD, K. Grosslight, et al. "Increases in Intracranial Pressure from succinylcholine: Prevention by Prior Nondepolarizing Blockade." Anesthesiology 1986; 65 (2): 165-169. Stirt, JA, KR Grosslight, et al. "" Defasciculatio the "Prevents to metocurine with succinylcholine-induced Increases menu de vips in Intracranial Pressure." Anesthesiology 1987; 67 (1): 50-53. Barrington, KJ, NN Finer, et al. "Succinylcho