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Indicated for patients undergoing general anaesthesia in cases where :
1. muscle relaxation will be required,
2. high ventilation pressures are likely to be encountered (the overweight patient, laparoscopy in the trendelenberg position),
3. the patient is at high risk of gastric regurgitation
4. avoidance of hypercarbia is important (eg craniotomy)
5. the prone position will be required
Critical care-
1. disturbance in consciousness in which the patient is unable to protect their airway
2. tracheobronchial toilet
3. severe pulmonary or multisystem injury associated with respiratory failure, such as sepsis, airway obstruction, hypoxemia, and hypercarbia
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Age < 2:
Newborn:
3 - 3.5 or
Gestational age/10
Newborn - 12 mo: 3.5-4
12-18 mo: 4
2 yr: 4.5
Age > 2 yr: (age/4) 4
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2mcg/kg fentanil 2mins prior to intubation is required in non-hypertensive patients.
4mcg/kg fentanil 2mins prior to intubation is required in patients with prexisting hypertension
dx.doi.org/10.1007/s00540...
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#AS
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