A ten-year trauma-airway audit found major shifts in induction practice and a modest rise in benzodiazepine use. Frequency of use was not a comparative patient-outcome result.
The historical trend
The analysis included 9,720 helicopter-emergency missions involving on-scene rapid-sequence induction during 2006–2015. Etomidate use fell while propofol and ketamine increased. Benzodiazepine use rose slightly.
The authors examined subsets defined by shock and consciousness scores. Opioid preferences also changed over time, showing that several components of induction practice evolved.
What the database could not show
Neuromuscular-blocking agents were not documented in the dataset. Consequently, a sedative category did not describe the full intubation regimen. Changes in selection, guidelines, training, and case mix also complicate comparisons.
The audit did not randomize agents or establish that the rising choices improved outcomes. For a trauma case, assess hemodynamics, airway circumstances, administered drugs, and timing. A historical utilization trend cannot establish current local practice or prove that a particular benzodiazepine choice caused a subsequent complication.
Source paper
Original analysis of the supplied journal article, identified as PMC6390324.
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