EMCrit Podcast 7 – Sedation Tirade

Hi folks,

this podcast is really brief–I gave a lecture at Jacobi last week (thanks for having me Jacobites!), and in response to a question I gave this rant on my vision of sedation after intubation.

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  1. Jose D. Torres, Jr. says

    From Jacobi Alumnus, I appreciate this EmCrit site with its lectures and blogs.
    Much appreciated sharing of knowledge.
    What sedation would you recommend for the hypotensive multi trauma patient?
    Different from the trauma patient with the isolated head injury?
    I recall you mentioned paralytic once or twice to get a study done such as a panscan. But emphasized analgesia, making them comfortable on fentanyl and giving ativan for sedation prn to supplement the fentanyl. Any new medications that would be better for these trauma patients? You must have great experience in this from being at Shockley Trauma.
    Will ketamine with sedation like propofol have a future role in the trauma patient? I have read an article done on soldiers in the field, in Israel on agitated patients with head injuries. Perhaps the bad things mentioned about ketamine about head trauma patients today, will be recanted in the near future.

  2. Robert Hewes says

    Dr. Weingart,

    I’m not in your industry at all, so forgive my ignorance. Why is it that you have to share this information with people? Your description of post-intubation pain seems like it should be obvious, no? Is it really a revelation to your colleagues that having a chunk of plastic forced down your throat is both painful and scary?

    On behalf of all people who are unfond of pain, thank you for putting out this podcast. Now please continue to shout it from the rooftops!

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