Etomidate for anesthesia induction: friends or foe in major cardiac surgery?

被引:6
作者
De Jong, Audrey
Jaber, Samir [1 ]
机构
[1] CHU Montpellier, INSERM, U1046, Intens Care Unit,Hop St Eloi, Montpellier, France
来源
CRITICAL CARE | 2014年 / 18卷 / 05期
关键词
INTENSIVE-CARE-UNIT; RAPID-SEQUENCE INTUBATION; ENDOTRACHEAL INTUBATION; MULTIPLE-CENTER; COMPLICATIONS; MORTALITY; COHORT; SCORE; RISK;
D O I
10.1186/s13054-014-0560-7
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Use of etomidate for anesthesia induction is still debated. In the previous issue of Critical Care, Heinrich and colleagues reported that etomidate for anesthesia induction had similar outcome in comparison with other drugs, in a specific population of 3,054 patients ahead of major cardiac surgery. For the authors, the similar outcomes for mortality and length of hospital stay add to the hemodynamic stability and the improved intubation conditions to support keeping etomidate in the emergency drugs armamentarium for induction of anesthesia in patients at risk of hemodynamic failure. This commentary reviews the results and implications of their study.
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页数:3
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共 15 条
[1]   Etomidate increases susceptibility to pneumonia in trauma patients [J].
Asehnoune, Karim ;
Mahe, Pierre Joachim ;
Seguin, Philippe ;
Jaber, Samir ;
Jung, Boris ;
Guitton, Christophe ;
Chatel-Josse, Nolwen ;
Subileau, Aurelie ;
Tellier, Anne Charlotte ;
Masson, Francoise ;
Renard, Benoit ;
Malledant, Yannick ;
Lejus, Corinne ;
Volteau, Christelle ;
Sebille, Veronique ;
Roquilly, Antoine .
INTENSIVE CARE MEDICINE, 2012, 38 (10) :1673-1682
[2]   Etomidate is associated with mortality and adrenal insufficiency in sepsis: A meta-analysis [J].
Chan, Chee Man ;
Mitchell, Anthony L. ;
Shorr, Andrew F. .
CRITICAL CARE MEDICINE, 2012, 40 (11) :2945-2953
[3]   Early Identification of Patients at Risk for Difficult Intubation in the Intensive Care Unit Development and Validation of the MACOCHA Score in a Multicenter Cohort Study [J].
De Jong, Audrey ;
Molinari, Nicolas ;
Terzi, Nicolas ;
Mongardon, Nicolas ;
Arnal, Jean-Michel ;
Guitton, Christophe ;
Allaouchiche, Bernard ;
Paugam-Burtz, Catherine ;
Constantin, Jean-Michel ;
Lefrant, Jean-Yves ;
Leone, Marc ;
Papazian, Laurent ;
Asehnoune, Karim ;
Maziers, Nicolas ;
Azoulay, Elie ;
Pradel, Gael ;
Jung, Boris ;
Jaber, Samir .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2013, 187 (08) :832-839
[4]   Adrenocortical suppression and recovery after continuous hypnotic infusion: etomidate versus its soft analogue cyclopropyl-methoxycarbonyl metomidate [J].
Ge, Rile ;
Pejo, Ervin ;
Cotten, Joseph F. ;
Raines, Douglas E. .
CRITICAL CARE, 2013, 17 (01)
[5]   Comparison of clinical outcome variables in patients with and without etomidate-facilitated anesthesia induction ahead of major cardiac surgery: a retrospective analysis [J].
Heinrich, Sebastian ;
Schmidt, Joachim ;
Ackermann, Andreas ;
Moritz, Andreas ;
Harig, Frank ;
Castellanos, Ixchel .
CRITICAL CARE, 2014, 18 (04)
[6]   Clinical practice and risk factors for immediate complications of endotracheal intubation in the intensive care unit: A prospective, multiple-center study [J].
Jaber, Samir ;
Amraoui, Jibba ;
Lefrant, Jean-Yves ;
Arich, Charles ;
Cohendy, Robert ;
Landreau, Liliane ;
Calvet, Yves ;
Capdevila, Xavier ;
Mahamat, Aba ;
Eledjam, Jean-Jacques .
CRITICAL CARE MEDICINE, 2006, 34 (09) :2355-2361
[7]   An intervention to decrease complications related to endotracheal intubation in the intensive care unit: a prospective, multiple-center study [J].
Jaber, Samir ;
Jung, Boris ;
Corne, Philippe ;
Sebbane, Mustapha ;
Muller, Laurent ;
Chanques, Gerald ;
Verzilli, Daniel ;
Jonquet, Olivier ;
Eledjam, Jean-Jacques ;
Lefrant, Jean-Yves .
INTENSIVE CARE MEDICINE, 2010, 36 (02) :248-255
[8]   Etomidate versus ketamine for rapid sequence intubation in acutely ill patients: a multicentre randomised controlled trial [J].
Jabre, Patricia ;
Combes, Xavier ;
Lapostolle, Frederic ;
Dhaouadi, Mohamed ;
Ricard-Hibon, Agnes ;
Vivien, Benoit ;
Bertrand, Lionel ;
Beltramini, Alexandra ;
Gamand, Pascale ;
Albizzati, Stephane ;
Perdrizet, Deborah ;
Lebail, Gaelle ;
Chollet-Xemard, Charlotte ;
Maxime, Virginie ;
Brun-Buisson, Christian ;
Lefrant, Jean-Yves ;
Bollaert, Pierre-Edouard ;
Megarbane, Bruno ;
Ricard, Jean-Damien ;
Anquel, Nadia ;
Vicaut, Eric ;
Adnet, Frederic .
LANCET, 2009, 374 (9686) :293-300
[9]   Effects of etomidate on complications related to intubation and on mortality in septic shock patients treated with hydrocortisone: a propensity score analysis [J].
Jung, Boris ;
Clavieras, Noemie ;
Nougaret, Stephanie ;
Molinari, Nicolas ;
Roquilly, Antoine ;
Cisse, Moussa ;
Carr, Julie ;
Chanques, Gerald ;
Asehnoune, Karim ;
Jaber, Samir .
CRITICAL CARE, 2012, 16 (06)
[10]   Steroidogenesis in the adrenal dysfunction of critical illness: impact of etomidate [J].
Molenaar, Nienke ;
Bijkerk, Ronald M. ;
Beishuizen, Albertus ;
Hempen, Christel M. ;
de Jong, Margriet F. C. ;
Vermes, Istvan ;
Veer, Gertjan van der Sluijs ;
Girbes, Armand R. J. ;
Groeneveld, A. B. Johan .
CRITICAL CARE, 2012, 16 (04)