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Atropine: Re-evaluating its use during paediatric RSI
Grand Rapids Medical Education and Research Center, Michigan, USA
Report by Alan Bean, Emergency Medicine Resident
Search checked by Jeff Jones, MD, Research Director
Grand Rapids Medical Education and Research Center, Michigan, USA
| The first 150 words of the full text of this article appear below. |
A short cut review was carried out to establish whether pre-treatment with atropine reduces the incidence of clinically significant bradycardia in children undergoing rapid sequence induction of anaesthesia in the Emergency Department. 112 papers were found using the reported searches, of which two presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these best papers are tabulated. It is concluded that there is evidence that the routine use of atropine is does not reduce the incidence of bradycardia during RSI in paediatric patients.
An 8-month-old child presents to the emergency department in status epilepticus and is given so much benzodiazepines during treatment that he can no longer protect his airway. His vital signs are all stable and a non-rebreather mask is helping him to maintain his oxygen saturations. As you prepare
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Bradyarrhythmias and heart block
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Child health
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Other anaesthesia
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Epilepsy and seizures
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Adolescent health
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