A listener, Brian Katan, wrote to suggest adding ondansetron to the awake intubation procedure. Now this is interesting, because I don't want the patient to vomit from ramming things into the back of her throat, but the mechanism is not nausea–it is the gag reflex. So, the question is: does ondansetron affect the gag reflex? Turns out it does…
Evaluation of the efficacy of oral ondansetron on gag reflex in soft palate and palatine tonsil areas
So now, ondansetron 4 mg IVP has been added to the airway checklist. Thanks Brian!
Latest posts by Scott Weingart (see all)
- EMCrit 238 – Medical Error Epidemic Craziness with G. Gianoli - December 12, 2018
- EMCrit Podcast 237 – Vent & PreVENT – An Update - November 28, 2018
- EMCrit Wee – The Brindley Sessions – Followership - November 11, 2018