Project #66: Improvement of Deep Sedation Practices Post Rapid Sequence Intubation with Rocuronium

Rocuronium is a paralytic agent commonly used for rapid sequence intubation(RSI): Onset 60-75seconds, duration 40-60minutes; Deep sedation is recommended post RSI; Propofol is a sedative frequently used in ICU for sedation; Barriers to use of propofol for deep sedation post RSI with Rocuronium; Hemodynamic instability; Ordered as PAD light sedation protocol. Baseline Date: Patients intubated using rocuronium in Pod 1, 2, and 4 between January 1st and March 31st 2023; 62 patients received rocuronium; 44 (71%) received rocuronium and propofol; 31 (50%) received propofol with 20 minutes of rocuronium administration; 17 (27.4%) received propofol at appropriate (20mc/kg/min) dose with 20 minutes of rocuronium administration. Note: All patients received Fentanyl.https://scholarlycommons.henryford.com/qualityexpo2024/1062/thumbnail.jp

The Effects of Obesity on Outcomes in Trauma Injury: Overview of the Current Literature

Obesity has reached epidemic proportions and is now considered a chronic disease by the National Institute of Health (NIH) in the West. Its impact on trauma outcomes is of particular interest with several studies presenting conflicting information. The present overview suggests a strong association between obesity and injury severity, hospital length of stay (LOS), intensive care unit (ICU) admission, pattern of injury, rate of complications and mortality. The nature of the observations may relate to an underlying physiological state of the obese patient and its associated comorbidities with a constant heightened inflammatory state aggravated by the second hit on an injury

The Effects of Obesity on Outcomes in Trauma Injury: Overview of the Current Literature

Obesity has reached epidemic proportions and is now considered a chronic disease by the National Institute of Health (NIH) in the West. Its impact on trauma outcomes is of particular interest with several studies presenting conflicting information. The present overview suggests a strong association between obesity and injury severity, hospital length of stay (LOS), intensive care unit (ICU) admission, pattern of injury, rate of complications and mortality. The nature of the observations may relate to an underlying physiological state of the obese patient and its associated comorbidities with a constant heightened inflammatory state aggravated by the second hit on an injury