In septic patients does the use of Etomidate as an induction agent for Essay

In septic patients does the use of Etomidate as an induction agent for endotracheal intubation increases mortality - Essay Example Rapid sequence intubation is the preferred method of intubation in the emergency and trauma units because it carries a decreased risk of patient aspiration and vomiting (Lafferty & Kunkarni, 2008). To facilitate induction, anaesthetic agents like etomidate or midazolam are used. However, practitioners and experts acknowledge that anaesthesia use for intubation and ventilation is hazardous and poorly tolerated in critically ill patients (Mccormick, 2006, p. 1). Mccormick (2006, p. 1) recommends that a trained anaesthetist should be present when this procedure is undertaken. Hypotension is one of the adverse effects that can manifest after induction, hence, the needed presence of the anaesthetist at this stage of the procedure. However, literature on the use of etomidate as an induction agent has been rendered controversial. Bridgewater (n.d, p. 2) claims that this controversy mainly stems from the fact that etomidate actually causes adrenal suppression. Other studies have yet to subst antially prove or disprove the merits of etomidate use in septic patients. Hence, this study is now being undertaken in order to assess the current researches on this subject in the hope of coming up with an academic and evidence-based resolution to this controversy. Data was gathered for this paper in different databases through electronic and library catalogue searches. The MEDLINE electronic database was assessed through the Google search engine. Catalogue searches included ‘anaesthesia etomidate’ and ‘septic patients etomidate’. Index searches of books included the following keywords: ‘etomidate’ and ‘septic patients’. Electronic searches through the Google search engine used the words ‘etomidate induction septic patients’. In order to further specify searches, the words ‘etomidate mortality risk’ and ‘rapid sequence intubation’ were added in. Websites for the Cochrane Library and the

Physical Activity and Wellness Research Paper Example | Topics and Well Written Essays - 1500 words

Physical Activity and Wellness - Research Paper Example Since the establishment of the physical activity, several factors influence the level of exercise behaviors of people. Physical activity entails bodily movement produced by skeletal muscle that results in energy expenditure above resting level. Several guiding framework are put in place to aid in understanding the multiple elements at each level. Individual factors are core when it comes to factors influencing a person’s involvement in exercise. The factor is innate to each person and differs from person to another such as a person’s genetic make-up, sex, growth and development as well as socioeconomic status among others. Social factors influence the physical activity of a person as fellow peers encourage one another to participate in exercise regime. Yet another influence is the environmental factor, ones surrounding such as walk paths encourage people to walk to work or shopping centers and even at times just for leisure. To build an environment suitable for physical activity opts to be an objective when setting up settlement units for it supports an active lifestyle. For example, safer streets that support biking, jogging and wider walking causes majority of the population to engage in some form of exercise reducing bad health outcomes. Controlled environment especially at workplace ensures employees access to existing communication channels and networks that improves levels of physical activity at all instances such as encouraging people use staircase instead of use of elevator.