Template:Intubation with ICH

Intubation

• Consider neuroprotective intubation
  • 3 minutes before intubation
    • Lidocaine 1-2mg/kg to blunt sharp MAP increase
    • Fentanyl 2-5mcg/kg as sympatholytic
  • Sedation
    • Etomidate if blood pressure normal
    • Propofol if blood pressure high
  • Succinylcholine without defasciculating dose
• Ensure patient is pain-free for post-intubation sedation
  • Propofol with fentanyl
  • Try to prioritize pain control with fentanyl