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Lower significant rate of etomidate-induced myoclonus for procedural sedation in emergency department of a tertiary care hospital

Ashly Alexander Fernandez, Neethu C M.

Abstract
Background: Etomidate drug is commonly used for procedural sedation in the emergency department (ED). The incidence rate of etomidate-induced myoclonus is 33%.

Aims and Objectives: In this study, we aimed to contradict that etomidate-induced myoclonus is less significant than the reported incidence rate.

Materials and Methods: This prospective study was performed between June 2016 and November 2016 in the ED of Amrita Institute of Medical Sciences, a tertiary care hospital. In the ED, procedural sedation was carried out by the physician. Adult patients receiving etomidate were enrolled for the study.

Results: The presence of myoclonus was noticed, and its duration was reported using the myoclonus scale. A total of 166 (116 males and 50 females) patients enrolled in the ED for procedural sedation with etomidate were taken. The dose administered was 0.3 mg/kg. Myoclonus was observed in 4 (2.4%) of 166 sedations. The mean age was observed to be male and female. During procedural sedation, etomidate-induced myoclonus in ED was less significant than the reported values.

Conclusion: From this, we came to the conclusion that the incidence to occur myoclonus with administration of etomidate is less when compare with other ED studies.

Key words: Etomidate; Myoclonus; Emergency Department


 
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Pubmed Style

Fernandez AA, M NC. Lower significant rate of etomidate-induced myoclonus for procedural sedation in emergency department of a tertiary care hospital. Natl J Physiol Pharm Pharmacol. 2018; 8(2): 292-294. doi:10.5455/njppp.2018.8.0728417082017


Web Style

Fernandez AA, M NC. Lower significant rate of etomidate-induced myoclonus for procedural sedation in emergency department of a tertiary care hospital. http://www.njppp.com/?mno=274313 [Access: May 24, 2018]. doi:10.5455/njppp.2018.8.0728417082017


AMA (American Medical Association) Style

Fernandez AA, M NC. Lower significant rate of etomidate-induced myoclonus for procedural sedation in emergency department of a tertiary care hospital. Natl J Physiol Pharm Pharmacol. 2018; 8(2): 292-294. doi:10.5455/njppp.2018.8.0728417082017



Vancouver/ICMJE Style

Fernandez AA, M NC. Lower significant rate of etomidate-induced myoclonus for procedural sedation in emergency department of a tertiary care hospital. Natl J Physiol Pharm Pharmacol. (2018), [cited May 24, 2018]; 8(2): 292-294. doi:10.5455/njppp.2018.8.0728417082017



Harvard Style

Fernandez, A. A. & M, N. C. (2018) Lower significant rate of etomidate-induced myoclonus for procedural sedation in emergency department of a tertiary care hospital. Natl J Physiol Pharm Pharmacol, 8 (2), 292-294. doi:10.5455/njppp.2018.8.0728417082017



Turabian Style

Fernandez, Ashly Alexander, and Neethu C M. 2018. Lower significant rate of etomidate-induced myoclonus for procedural sedation in emergency department of a tertiary care hospital. National Journal of Physiology, Pharmacy and Pharmacology, 8 (2), 292-294. doi:10.5455/njppp.2018.8.0728417082017



Chicago Style

Fernandez, Ashly Alexander, and Neethu C M. "Lower significant rate of etomidate-induced myoclonus for procedural sedation in emergency department of a tertiary care hospital." National Journal of Physiology, Pharmacy and Pharmacology 8 (2018), 292-294. doi:10.5455/njppp.2018.8.0728417082017



MLA (The Modern Language Association) Style

Fernandez, Ashly Alexander, and Neethu C M. "Lower significant rate of etomidate-induced myoclonus for procedural sedation in emergency department of a tertiary care hospital." National Journal of Physiology, Pharmacy and Pharmacology 8.2 (2018), 292-294. Print. doi:10.5455/njppp.2018.8.0728417082017



APA (American Psychological Association) Style

Fernandez, A. A. & M, N. C. (2018) Lower significant rate of etomidate-induced myoclonus for procedural sedation in emergency department of a tertiary care hospital. National Journal of Physiology, Pharmacy and Pharmacology, 8 (2), 292-294. doi:10.5455/njppp.2018.8.0728417082017





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