Which resuscitation drugs are effective when given via an ETT?
The preferred routes of drug delivery for infants and children in cardiac arrest are IV and IO. However, there are four “traditional” resuscitation drugs that are effective when administered through the ETT. Those four are l idocaine, a tropine, n aloxone, and e pinephrine. The acronym LANE is an easy way to remember them. V ersed (midazolam) also is useful and is effective when administered via the ETT. Adding this drug to the list yields a different acronym: NAVEL. With the exception of epinephrine, endotracheal doses are the same as intravascular doses. All doses of epinephrine given through the ETT should be a higher dose (0.1 mg/kg).
DRUGS THAT CAN BE GIVEN VIA THE ENDOTRACHEAL ROUTE
- 1. Lidocaine
- 2. Atropine
- 3. Naloxone
- 4. Epinephrine
- 5. Versed
American Heart Association: 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations. Part 10: Pediatric Basic and Advanced Life Support. Circulation 2010;122:S466-S515.