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Updated: Nov 29, 2025

Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
Sedation for Rapid Sequence Induction and Intubation of Neurologically Injured Patients
Jesse Shriki1, Samuel M Galvagno2
1Surgical Critical Care, R Adams Cowley Shock Trauma Center, Program in Trauma, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD 21201, USA.
Abstract:
There are subtle physiologic and pharmacologic principles that should be understood for patients with neurologic injuries. These principles are especially true for managing patients with traumatic brain injuries. Prevention of hypotension and hypoxemia are major goals in the management of these patients. This article discusses the physiology, pitfalls, and pharmacology necessary to skillfully care for this subset of patients with trauma. The principles endorsed in this article are applicable both for patients with traumatic brain injury and those with spinal cord injuries.
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