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"The Knowledge we take into our shifts does matter"
In a recent paper by Driver et al (1) there was a comparison of Ketamine-Only intubation with topical anaesthetic and traditional RSI. The primary outcome was 1st attempt intubation success and it was found that Ketamine only intubation had the worst success rate of all the techniques and it also had the greatest incidence of adverse events, which included cardiac arrest, airway injury, hypotension and hypoxia. This is an excerpt from a review on the RESUS Blog
What they did
ConclusionKetamine only intubation had a lower first pass success rate and a higher rate of adverse events.
My take on this
Perhaps the most important part of this is to understand why you might use this and to be knowledgeable as to how to use it. What we need to do, is define a group of patients where this might be used.
Read about Ketamine-only breathing intubation.