Ketamine vs. Etomidate

#lemon8challenge #lemon8badgehunt

💉 this vs that thursday

ketamine vs etomidate for RSI

this is one of the most common decisions we make…

and one of the most misunderstood

👉 no mortality difference

BUT the difference is in what happens right after induction

• etomidate → more reliable hemodynamic stability

• ketamine → less adrenal suppression, but ↑ risk of peri-intubation instability

⚠️ important nuance:

the idea that ketamine “supports blood pressure”

doesn’t consistently hold in critically ill patients

especially in catecholamine-depleted states (shock/sepsis)

👀 slide 5 is the one you’ll come back to

bottom line:

choose based on the patient’s physiology—not the myth

save this—you’ll definitely need it

#pharmacotherapy #clinicalpharmacy #pharmd