From: Induction of pre-hospital emergency anaesthesia i-PHEA: a national survey of UK HEMS practice
n | % | |
---|---|---|
Service operational hours | ||
12 h (day only) | 2 | 11 |
19 h (day & late) | 6 | 32 |
24 h | 8 | 42 |
Other* | 2 | 11 |
Not reported | 1 | 5 |
PHEA provision (average number of PHEA in last 12 months) | ||
> 100 | 15 | 79 |
< 90 | 1 | 5 |
< 60 | 1 | 5 |
< 30 | 1 | 5 |
Not reported | 1 | 5 |
Primary induction regime - haemodynamically stable patient | ||
Standard 3:2:1 regime | 5 | 26 |
Variation of standard 3:2:1 regime (summarised in Table 2) | 5 | 26 |
Ketamine & rocuronium only | 4 | 21 |
Practitioner choice | 5 | 26 |
Primary induction regime - haemodynamically compromised patient | ||
Standard 1:1:1regime | 3 | 16 |
Fentanyl 1mcg/kg + ketamine 1 mg/kg + rocuronium 2 mg/kg | 1 | 5 |
Ketamine 1 mg/kg + rocuronium 1 mg/kg | 10 | 53 |
Practitioner choice | 5 | 26 |
Primary induction regime - post ROSC patient | ||
Fentanyl, ketamine & rocuronium | 1 | 5 |
Fentanyl, midazolam & rocuronium | 5 | 26 |
Ketamine & rocuronium | 4 | 21 |
Practitioner choice | 9 | 47 |
Primary regime for maintenance of anaesthesia | ||
Ketamine infusion | 3 | 16 |
Propofol infusion | 6 | 32 |
Bolus dosing (including ketamine, midazolam, fentanyl, morphine) | 7 | 37 |
Practitioner choice | 3 | 16 |
*mix of 12, 19 and 24 h across 7 day period |