Etomidate and seizures
At my institution, when we go to the floors to do stat intubations Etomidate is normally used. Obviously there are times when it is not used or other drugs are used instead. A while back we responded to a call at about 3am for intubation. Arrived to Neuro ICU where patient was somewhat out of it--admitted for frequent seizure activity, but nothing to violent. I'll skip all the boring details but my question is: I was told not to use Etomidate as it can cause seizure activity. I've looked in several texts and on the internet and I can not find anything that states that a history of seizure activity is a contraindication for etomidate (propofol is better to stop an active seizure but the patient was not currently having a seizure). Etomidate can cause myoclonus but this is not a true seizure. Would you use Etomidate if they have a history of seizures? and does it actually cause seizure activity or just myoclonus?
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