De Jong Audrey, Jaber Samir
Crit Care. 2014 Oct 10;18(5):560. doi: 10.1186/s13054-014-0560-7.
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.
依托咪酯用于麻醉诱导仍存在争议。在上一期的《重症监护》杂志中,海因里希及其同事报告称,在3054例接受重大心脏手术的特定患者群体中,依托咪酯用于麻醉诱导与其他药物相比,效果相似。对作者而言,死亡率和住院时间的相似结果,再加上血流动力学稳定性以及改善的插管条件,支持将依托咪酯保留在急救药物储备中,用于有血流动力学衰竭风险患者的麻醉诱导。本评论回顾了他们研究的结果及意义。