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Neuromuscular Blocking Agent (NMBA)
- NMBAs are used to facilitate intubation when performing RSI
- Importantly, NMBAs have no analgesic or amnestic effects
- Indiscriminate and repeated dosing of NMBA can lead to prolonged recovery and critical illness polyneuromyopathy, a devastating complication of critical illness that prolongs ventilation, ICU/hospital length of stay, and increases mortality
- Take Home Point: provide adequate amounts of sedation and analgesia to your intubated ED patients rather then reflexively giving repeated doses of NMBA