Opioid Induction

Question 1

What is an opioid induction?

Answer 1

• The use of a benzodiazepine and an ultrashort acting opioid (fentanyl / remifentanyl)
• given IV until intubation is achieved
• Benefits hemodynamically unstable patients or moribund (near death) patients
• due to minimal cardiovascular depression caused
• not a good choice for healthy patients
• rough induction
• intubation not possible unless with another agent
• pre-oxygenation highly recommended for 3-5mins prior
• replace functional residual capacity of lungs with 100% oxygen instead of 21% oxygen
• prolong onset of hypoxemia
• quiet place
• hypersensitivity common