Rapid sequence intubation considerations for the obese patient.
- Succinylcholine: TOTAL body weight
- Rocuronium: IDEAL body weight
- Etomidate TOTAL body weight
- Ketamine: IDEAL body weight
- Benzodiazepines: TOTAL body weight
- Propofol: IDEAL body weight
Note: meds that start with vowel use TOTAL (actual) body weight, except for succinylcholine. This is why it “succs“
Other considerations
- use a Mac 4
- use ideal body weight (maybe more) for lowered lung volumes in obese patients