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<meta name="description" content="Although we have not found conclusive evidence that etomidate increases mortality or healthcare resource utilization in critically ill patients, it does seem to increase the risk of adrenal gland dysfunction and multi-organ system dysfunction by a small amount. The clinical significance of this find …"><meta name="keywords" content="pmid:25568981, PMC6517008, doi:10.1002/14651858.CD010225.pub2, Meta-Analysis, Review, Systematic Review, Eric A Bruder, Ian M Ball, Corinne Hohl, Adrenal Insufficiency / chemically induced*, Adrenal Insufficiency / mortality, Critical Illness*, Etomidate / administration &amp; dosage*, Etomidate / adverse effects*, Health Services Needs and Demand / statistics &amp; numerical data, Humans, Hypnotics and Sedatives / administration &amp; dosage*, Hypnotics and Sedatives / adverse effects*, Intensive Care Units / statistics &amp; numerical data, Intubation, Intratracheal*, Length of Stay, Organ Dysfunction Scores, Randomized Controlled Trials as Topic, Respiration, Artificial / statistics &amp; numerical data, PubMed Abstract, NIH, NLM, NCBI, National Institutes of Health, National Center for Biotechnology Information, National Library of Medicine, MEDLINE"><meta name="robots" content="index,nofollow,noarchive"><meta property="og:title" content="Single induction dose of etomidate versus other induction agents for endotracheal intubation in critically ill patients - PubMed"><meta property="og:url" content="https://pubmed.ncbi.nlm.nih.gov/25568981/"><meta property="og:description" content="Although we have not found conclusive evidence that etomidate increases mortality or healthcare resource utilization in critically ill patients, it does seem to increase the risk of adrenal gland dysfunction and multi-organ system dysfunction by a small amount. The clinical significance of this find …"><meta property="og:image" content="https://cdn.ncbi.nlm.nih.gov/pubmed/persistent/pubmed-meta-image-v2.jpg"><meta property="og:image:secure_url" content="https://cdn.ncbi.nlm.nih.gov/pubmed/persistent/pubmed-meta-image-v2.jpg"><meta property="og:type" content="website"><meta property="og:site_name" content="PubMed"><meta name="twitter:domain" content="pubmed.ncbi.nlm.nih.gov"><meta name="twitter:card" content="summary_large_image"><meta name="twitter:title" content="Single induction dose of etomidate versus other induction agents for endotracheal intubation in critically ill patients - PubMed"><meta name="twitter:url" content="https://pubmed.ncbi.nlm.nih.gov/25568981/"><meta name="twitter:description" content="Although we have not found conclusive evidence that etomidate increases mortality or healthcare resource utilization in critically ill patients, it does seem to increase the risk of adrenal gland dysfunction and multi-organ system dysfunction by a small amount. The clinical significance of this find …"><meta name="twitter:image" content="https://cdn.ncbi.nlm.nih.gov/pubmed/persistent/pubmed-meta-image-v2.jpg">
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<label for="email-citation-format" class="action-panel-label">
Format:
</label>
<select id="email-citation-format" name="citation-format" class="action-panel-selector email-citation-format">
<option selected="selected" value="summary">Summary</option>
<option value="summary-text">Summary (text)</option>
<option value="abstract">Abstract</option>
<option value="abstract-text">Abstract (text)</option>
</select>
</div>
<div class="include-supplemental-container">
<input type="checkbox" aria-label="Include MeSH and other data" name="include-supplemental" id="email-include-supplemental" class="email-include-supplemental">
<label for="email-include-supplemental" class="email-include-supplemental-label">MeSH and other data</label>
</div>
<div class="form-field recaptcha ">
<div class="g-recaptcha" id="id-recaptcha" data-sitekey="6LfsWHMdAAAAAClKbtOpjQ2pMjgsGxvv7NdZW9uI"></div>
</div>
<div id="captcha-error-message" class="usa-input-error-message captcha-validation-message" role="alert"></div>
<div class="action-panel-actions">
<button class="action-panel-submit"
type="submit"
data-loading-label="Sending..."
data-ga-category="save_share"
data-ga-action="email"
data-ga-label="send">
Send email
</button>
<button class="action-panel-cancel"
aria-label="Close 'Email citations' panel"
ref="linksrc=close_email_panel"
aria-controls="email-action-panel"
aria-expanded="false"
data-ga-category="save_share"
data-ga-action="email"
data-ga-label="cancel">
Cancel
</button>
</div>
<input type="hidden" name="email-search-details" value="" />
<input type="hidden" name="email-search-details-hash" value="0e42663a6c3bd85498fcb88798998fed7bfdc45d457db35281e41afe13cc0524" />
</form>
</div>
</div>
<div id="collections-action-panel"
class="collections-action-panel action-panel in-progress-dots-panel"
aria-hidden="true"
data-collections-open-panel-enabled="false"
data-collections-open-panel-url-hash="#open-collections-panel">
<div class="inner-wrap">
<h3 class="action-panel-heading">
Add to Collections
</h3>
<form id="collections-action-panel-form"
class="collections-action-panel-form action-panel-content action-form action-panel-smaller-selectors"
data-existing-collections-url="/list-existing-collections/"
data-add-to-existing-collection-url="/add-to-existing-collection/"
data-create-and-add-to-new-collection-url="/create-and-add-to-new-collection/"
data-get-article-ids-by-search-url="/get-article-ids-by-search/"
data-myncbi-max-collection-name-length="100"
data-add-to-collection-max-amount="1000"
data-collections-root-url="https://www.ncbi.nlm.nih.gov/myncbi/collections/">
<input type="hidden" name="csrfmiddlewaretoken" value="X6yoenn5OpYNEh1sI4GECZz7arnSAfjUeTitRdQro0LhyI7ilnjG675LIv54tQRe">
<div class="choice-group" role="radiogroup">
<ul class="radio-group-items">
<li>
<input type="radio"
id="collections-action-panel-new"
class="collections-new"
name="collections"
value="new"
data-ga-category="save_share"
data-ga-action="collections"
data-ga-label="collections_radio_new">
<label for="collections-action-panel-new">Create a new collection</label>
</li>
<li>
<input type="radio"
id="collections-action-panel-existing"
class="collections-existing"
name="collections"
value="existing"
checked="true"
data-ga-category="save_share"
data-ga-action="collections"
data-ga-label="collections_radio_existing">
<label for="collections-action-panel-existing">Add to an existing collection</label>
</li>
</ul>
</div>
<div class="controls-wrapper">
<div class="action-panel-control-wrap new-collections-controls">
<label for="collections-action-panel-add-to-new" class="action-panel-label required-field-asterisk">
Name your collection:
</label>
<input
type="text"
name="add-to-new-collection"
id="collections-action-panel-add-to-new"
class="collections-action-add-to-new"
pattern="[^&quot;&amp;=&lt;&gt;\/]*" title="The following characters are not allowed in the Name field: &quot;&amp;=&lt;&gt;/"
maxlength="100"
data-ga-category="save_share"
data-ga-action="create_collection"
data-ga-label="non_favorties_collection">
<div class="collections-new-name-too-long usa-input-error-message selection-validation-message">
Name must be less than 100 characters
</div>
</div>
<div class="action-panel-control-wrap existing-collections-controls">
<label for="collections-action-panel-add-to-existing" class="action-panel-label">
Choose a collection:
</label>
<select id="collections-action-panel-add-to-existing"
class="action-panel-selector collections-action-add-to-existing"
data-ga-category="save_share"
data-ga-action="select_collection"
data-ga-label="($('#collections-action-add-to-existing').val() === 'Favorites') ? 'Favorites' : 'non_favorites_collection'">
</select>
<div class="collections-retry-load-on-error usa-input-error-message selection-validation-message">
Unable to load your collection due to an error<br>
<a href="#">Please try again</a>
</div>
</div>
</div>
<div class="action-panel-actions">
<button class="action-panel-submit"
type="submit"
data-loading-label="Adding..."
data-pinger-ignore
data-ga-category="save_share"
data-ga-action="collections"
data-ga-label="add">
Add
</button>
<button class="action-panel-cancel"
aria-label="Close 'Add to Collections' panel"
ref="linksrc=close_collections_panel"
aria-controls="collections-action-panel"
aria-expanded="false"
data-ga-category="save_share"
data-ga-action="collections"
data-ga-label="cancel">
Cancel
</button>
</div>
</form>
</div>
</div>
<div id="bibliography-action-panel"
class="bibliography-action-panel action-panel in-progress-dots-panel"
aria-hidden="true"
data-bibliography-open-panel-enabled="false"
data-bibliography-open-panel-url-hash="#open-bibliography-panel">
<div class="inner-wrap">
<h3 class="action-panel-heading">
Add to My Bibliography
</h3>
<form id="bibliography-action-panel-form"
class="bibliography-action-panel-form action-panel-content action-form action-panel-smaller-selectors"
data-add-to-bibliography-max-amount="100"
data-add-to-bibliography-batch-size="10"
data-bibliography-delegates-url="/list-bibliography-delegates/"
data-add-to-bibliography-url="/add-to-bibliography/"
data-get-article-ids-by-search-url="/get-article-ids-by-search/"
data-mybib-root-url="https://www.ncbi.nlm.nih.gov/myncbi/collections/mybibliography/">
<input type="hidden" name="csrfmiddlewaretoken" value="X6yoenn5OpYNEh1sI4GECZz7arnSAfjUeTitRdQro0LhyI7ilnjG675LIv54tQRe">
<div class="action-panel-control-wrap bibliographies-controls">
<div class="choice-group">
<ul class="bibliographies-action-add radio-group-items">
<li>
<input name="bibliography" id="my-bibliography" class="my-bibliography" type="radio" checked/>
<label for="my-bibliography">My Bibliography</label>
</li>
</ul>
</div>
</div>
<div class="bibliographies-retry-load-on-error usa-input-error-message selection-validation-message">
Unable to load your delegates due to an error<br>
<a href="#">Please try again</a>
</div>
<div class="action-panel-actions">
<button class="action-panel-submit"
type="submit"
data-loading-label="Adding..."
data-pinger-ignore>
Add
</button>
<button class="action-panel-cancel"
aria-label="Close 'Add to bibliography' panel"
ref="linksrc=close_bibliography_panel"
aria-controls="bibliography-action-panel"
aria-expanded="false"
data-ga-category="save_share"
data-ga-action="mybib"
data-ga-label="cancel">
Cancel
</button>
</div>
</form>
</div>
</div>
<div id="saved-search-action-panel" class="saved-search-action-panel action-panel " aria-hidden="true"
data-saved-search-open-panel-enabled="false"
data-saved-search-open-panel-url-hash="#open-saved-search-panel">
<div class="inner-wrap">
<h2 class="action-panel-heading">
Your saved search
</h2>
<form id="saved-search-action-panel-form"
class="saved-search-action-panel-form action-panel-content action-form"
data-create-saved-search-url="/create-saved-search/"
data-try-search-terms-url="/try-search-term/"
data-saved-search-root-url="https://www.ncbi.nlm.nih.gov/myncbi/searches/">
<input type="hidden" name="csrfmiddlewaretoken" value="X6yoenn5OpYNEh1sI4GECZz7arnSAfjUeTitRdQro0LhyI7ilnjG675LIv54tQRe">
<div class="action-panel-control-wrap">
<label for="saved-search-name" class="action-panel-label saved-search-name-label required-field-asterisk">
Name of saved search:
</label>
<input maxlength="200"
type="text"
name="saved-search-name"
id="saved-search-name"
class="saved-search-name"
value=""
required
pattern="[^&quot;&amp;=&lt;&gt;\/]*" title="The following characters are not allowed in the Name field: &quot;&amp;=&lt;&gt;/">
</div>
<div class="action-panel-control-wrap">
<label for="saved-search-term" class="action-panel-label required-field-asterisk">
Search terms:
</label>
<textarea name="saved-search-term" id="saved-search-term" class="saved-search-term" required></textarea>
</div>
<div class="test-search-term-wrap">
<a href="#" class="try-search-term">Test search terms</a>
</div>
<div class="choice-group action-panel-extra-margin-top">
<span class="action-panel-label" id="fieldset-label">
Would you like email updates of new search results?
</span>
<fieldset id="saved-search-alert" aria-describedby="fieldset-label">
<legend class="usa-sr-only">Saved Search Alert Radio Buttons</legend>
<ul class="radio-group-items">
<li>
<input type="radio" id="saved-search-alert-yes" class="saved-search-alert-yes" name="saved-search-alert" value="yes" checked>
<label for="saved-search-alert-yes" class="action-panel-label">Yes</label>
</li>
<li>
<input aria-label="No radio input" type="radio" id="saved-search-alert-no" class="saved-search-alert-no" name="saved-search-alert" value="no">
<label for="saved-search-alert-no" class="action-panel-label">No</label>
</li>
</ul>
</fieldset>
</div>
<div class="alert-schedule-wrap">
<div class="action-panel-control-wrap">
<label class="action-panel-label">
Email:
</label>
<span aria-label="Email address" id="saved-search-email" class="action-panel-label"><span class="action-panel-label-bold"></span> (<a class="myncbi-account-settings" href="https://www.ncbi.nlm.nih.gov/account/settings/">change</a>)</span>
</div>
<div class="action-panel-control-wrap action-panel-extra-margin-top">
<label for="saved-search-frequency" class="action-panel-label">
Frequency:
</label>
<select id="saved-search-frequency" class="no-border-panel-selector saved-search-frequency">
<option value="monthly">Monthly</option>
<option value="weekly">Weekly</option>
<option value="daily">Daily</option>
</select>
</div>
<div class="action-panel-control-wrap saved-search-monthly-additional">
<label for="saved-search-monthly-on-day" class="action-panel-label">
Which day?
</label>
<select id="saved-search-monthly-on-day" class="no-border-panel-selector">
<option value="Sunday">The first Sunday</option>
<option value="Monday">The first Monday</option>
<option value="Tuesday">The first Tuesday</option>
<option value="Wednesday">The first Wednesday</option>
<option value="Thursday">The first Thursday</option>
<option value="Friday">The first Friday</option>
<option value="Saturday">The first Saturday</option>
<option value="day">The first day</option>
<option value="weekday">The first weekday</option>
</select>
</div>
<div class="action-panel-control-wrap saved-search-weekly-additional">
<label for="saved-search-weekly-on-day" class="action-panel-label">
Which day?
</label>
<select id="saved-search-weekly-on-day" class="no-border-panel-selector saved-search-weekly-on-day">
<option value="Sunday">Sunday</option>
<option value="Monday">Monday</option>
<option value="Tuesday">Tuesday</option>
<option value="Wednesday">Wednesday</option>
<option value="Thursday">Thursday</option>
<option value="Friday">Friday</option>
<option value="Saturday">Saturday</option>
</select>
</div>
<div class="action-panel-control-wrap">
<label for="saved-search-report" class="action-panel-label">
Report format:
</label>
<select id="saved-search-report" class="no-border-panel-selector saved-search-report">
<option value="DocSum">Summary</option>
<option value="DocSumText">Summary (text)</option>
<option value="Abstract">Abstract</option>
<option value="AbstractText">Abstract (text)</option>
<option value="MEDLINE">PubMed</option>
</select>
</div>
<div class="action-panel-control-wrap">
<label for="saved-search-amount" class="action-panel-label">
Send at most:
</label>
<select id="saved-search-amount" class="no-border-panel-selector saved-search-amount">
<option value="1">1 item</option>
<option value="5" selected>5 items</option>
<option value="10">10 items</option>
<option value="20">20 items</option>
<option value="50">50 items</option>
<option value="100">100 items</option>
<option value="200">200 items</option>
</select>
</div>
<div>
<input type="checkbox" id="saved-search-send-if-no-result" class="saved-search-send-if-no-result" name="saved-search-send-if-no-result">
<label for="saved-search-send-if-no-result" class="action-panel-label smaller-checkbox">
Send even when there aren't any new results
</label>
</div>
<div class="action-panel-control-wrap option-text-in-email-wrap">
<label for="saved-search-email-text" class="action-panel-label">
Optional text in email:
</label>
<textarea name="saved-search-email-text"
id="saved-search-email-text"
class="saved-search-email-text"></textarea>
</div>
</div>
<div class="action-panel-actions">
<button class="action-panel-submit"
type="submit"
data-loading-label="Saving..."
data-ga-category="save_share"
data-ga-action="alert"
data-ga-label="save">
Save
</button>
<button class="action-panel-cancel"
aria-label="Close 'Your saved search' panel"
ref="linksrc=close_saved_search_panel"
aria-controls="saved-search-action-panel"
aria-expanded="false"
data-ga-category="save_share"
data-ga-action="alert"
data-ga-label="cancel">
Cancel
</button>
</div>
</form>
</div>
</div>
<div id="citation-manager-action-panel" class="citation-manager-action-panel action-panel" aria-hidden="true">
<div class="inner-wrap">
<h2 class="action-panel-heading">
Create a file for external citation management software
</h2>
<form id="citation-manager-action-panel-form"
class="action-panel-content action-form"
action="/results-export-ids/"
data-by-search-action="/results-export-search-data/"
data-by-ids-action="/results-export-ids/"
method="post"
data-by-search-method="post"
data-by-ids-method="post">
<input type="hidden" name="csrfmiddlewaretoken" value="X6yoenn5OpYNEh1sI4GECZz7arnSAfjUeTitRdQro0LhyI7ilnjG675LIv54tQRe">
<input name="results-format" type="hidden" value="pubmed"/>
<div class="action-panel-actions">
<button class="action-panel-submit"
type="submit"
data-loading-label="Sending..."
data-ga-category="save_share"
data-ga-action="citation_manager"
data-ga-label="save">
Create file
</button>
<button class="action-panel-cancel"
aria-label="Close 'Send citations to citation manager' panel"
ref="linksrc=close_citation_manager_panel"
aria-controls="citation-manager-action-panel"
aria-expanded="false"
data-ga-category="save_share"
data-ga-action="citation_manager"
data-ga-label="cancel">
Cancel
</button>
</div>
</form>
</div>
</div>
<div id="rss-action-panel" class="rss-action-panel action-panel " aria-hidden="true">
<div class="inner-wrap">
<h2 class="action-panel-heading">
Your RSS Feed
</h2>
<form id="rss-action-panel-form"
class="rss-action-panel-form action-panel-content action-form"
data-create-rss-feed-url="/create-rss-feed-url/"
data-search-form-term-value="">
<input type="hidden" name="csrfmiddlewaretoken" value="X6yoenn5OpYNEh1sI4GECZz7arnSAfjUeTitRdQro0LhyI7ilnjG675LIv54tQRe">
<div class="action-panel-control-wrap">
<label for="rss-name" class="action-panel-label required-field-asterisk">
Name of RSS Feed:
</label>
<input maxlength="200"
placeholder="Name"
type="text"
name="rss-name"
id="rss-name"
class="rss-name"
value=''
required
pattern="[^&quot;&amp;=&lt;&gt;\/]*" title="The following characters are not allowed in the Name field: &quot;&amp;=&lt;&gt;/">
</div>
<div class="rss-limit-wrap">
<div class="action-panel-control-wrap action-panel-extra-margin-top">
<label for="rss-limit" class="action-panel-label">
Number of items displayed:
</label>
<select id="rss-limit" class="no-border-panel-selector rss-limit">
<option value="5">5</option>
<option value="10">10</option>
<option value="15" selected="selected">15</option>
<option value="20">20</option>
<option value="50">50</option>
<option value="100">100</option>
</select>
</div>
</div>
<div class="action-panel-actions">
<button class="action-panel-submit"
type="submit"
data-loading-label="Creating..."
data-ga-category="save_share"
data-ga-action="alert"
data-ga-label="save">
Create RSS
</button>
<button class="action-panel-cancel"
aria-label="Close 'Your RSS' panel"
ref="linksrc=close_rss_panel"
aria-controls="rss-action-panel"
aria-expanded="false"
data-ga-category="save_share"
data-ga-action="alert"
data-ga-label="cancel">
Cancel
</button>
</div>
<div class="action-panel-control-wrap rss-link-copy-wrap">
<label for="rss-link" class="usa-sr-only">RSS Link</label>
<input placeholder="Your RSS Feed Link" type="text" name="rss-link" id="rss-link" class="rss-link" title="RSS Link">
<button
type="button"
disabled
class="rss-link-copy-button disabled"
data-ga-category="save_share"
data-ga-action="rss"
data-ga-label="copy">
Copy
</button>
</div>
</form>
</div>
</div>
</div>
</div>
<div class="article-page" id="article-page" data-article-pmid="25568981">
<aside class="page-sidebar">
<div class="inner-wrap">
<div class="full-text-links">
<div class="full-view">
<h3 class="title">
Full text links
</h3>
<div class="full-text-links-list">
<a class="link-item
dialog-focus"
href="https://doi.org/10.1002/14651858.CD010225.pub2"
target="_blank"
rel="noopener"
ref="linksrc=fulltextorjournal_fulltext&amp;is_pmc=False&amp;PrId=3058&amp;itool=Abstract-def&amp;log$=linkouticon&amp;uid=25568981&amp;db=pubmed&amp;nlmid=100909747"
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Wiley
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pmc
"
href="https://pmc.ncbi.nlm.nih.gov/articles/pmid/25568981/"
target="_blank"
rel="noopener"
ref="linksrc=fulltextorjournal_fulltext&amp;is_pmc=True&amp;PrId=3494&amp;itool=Abstract-def&amp;log$=linkouticon&amp;uid=25568981&amp;db=pubmed&amp;nlmid=100909747"
title="Free full text at PubMed Central"
data-ga-category="full_text"
data-ga-action="PMC"
data-ga-label="25568981"
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Free PMC article
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</div>
<div class="short-view">
<a href="#" class="full-text-links-button full-text-links-dialog-trigger">
Full text links
</a>
</div>
</div>
<div class="actions-buttons sidebar"><h3 class="title">Actions</h3><div class="inner-wrap"><button class="citation-button citation-dialog-trigger"
aria-label="Open dialog with citation text in different styles"
data-ga-category="save_share"
data-ga-action="cite"
data-ga-label="open"
data-all-citations-url="/25568981/citations/"
data-citation-style="nlm"
data-pubmed-format-link="/25568981/export/"><span class="button-label">Cite</span></button><link type="text/css" href="ncbi-overlay-block/src/overlay-block.css"><div class="collections-button-container" data-article-id="25568981" data-article-db="pubmed"><button class="collections-button collections-dialog-trigger"
aria-label="Save article in MyNCBI collections."
data-ga-category="collections_button"
data-ga-action="click"
data-ga-label="collections_button"
data-collections-open-dialog-enabled="false"
data-collections-open-dialog-url="https://account.ncbi.nlm.nih.gov/?back_url=https%3A%2F%2Fpubmed.ncbi.nlm.nih.gov%2F25568981%2F%23open-collections-dialog"
data-in-collections="false"><span class="button-label">Collections</span></button><div class="overlay" role="dialog"><div id="collections-action-dialog"
class="dialog collections-dialog"
aria-hidden="true"><div class="title">Add to Collections</div><div class="collections-action-panel action-panel"><form id="collections-action-dialog-form"
class="collections-action-panel-form action-panel-content action-form action-panel-smaller-selectors"
data-existing-collections-url="/list-existing-collections/"
data-add-to-existing-collection-url="/add-to-existing-collection/"
data-create-and-add-to-new-collection-url="/create-and-add-to-new-collection/"
data-myncbi-max-collection-name-length="100"
data-collections-root-url="https://www.ncbi.nlm.nih.gov/myncbi/collections/"><input type="hidden" name="csrfmiddlewaretoken" value="X6yoenn5OpYNEh1sI4GECZz7arnSAfjUeTitRdQro0LhyI7ilnjG675LIv54tQRe"><div class="choice-group" role="radiogroup"><ul class="radio-group-items"><li><input type="radio"
id="collections-action-dialog-new"
class="collections-new"
name="collections"
value="new"
data-ga-category="collections_button"
data-ga-action="click"
data-ga-label="collections_radio_new"><label for="collections-action-dialog-new">Create a new collection</label></li><li><input type="radio"
id="collections-action-dialog-existing"
class="collections-existing"
name="collections"
value="existing"
checked="true"
data-ga-category="collections_button"
data-ga-action="click"
data-ga-label="collections_radio_existing"><label for="collections-action-dialog-existing">Add to an existing collection</label></li></ul></div><div class="controls-wrapper"><div class="action-panel-control-wrap new-collections-controls"><label for="collections-action-dialog-add-to-new" class="action-panel-label required-field-asterisk">
Name your collection:
</label><input
type="text"
name="add-to-new-collection"
id="collections-action-dialog-add-to-new"
class="collections-action-add-to-new"
pattern="[^&quot;&amp;=&lt;&gt;\/]*" title="The following characters are not allowed in the Name field: &quot;&amp;=&lt;&gt;/"
maxlength="100"
data-ga-category="collections_button"
data-ga-action="create_collection"
data-ga-label="non_favorties_collection"><div class="collections-new-name-too-long usa-input-error-message selection-validation-message">
Name must be less than 100 characters
</div></div><div class="action-panel-control-wrap existing-collections-controls"><label for="collections-action-dialog-add-to-existing" class="action-panel-label">
Choose a collection:
</label><select id="collections-action-dialog-add-to-existing"
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The use of etomidate for emergency airway interventions in critically ill patients is very common. In one large registry trial, etomidate was the most commonly used agent for this indication. Etomidate is known to suppress adrenal gland function, but it remains unclear whether or not this adrenal gland dysfunction affects mortality.
</p>
<p>
<strong class="sub-title">
Objectives:
</strong>
The primary objective was to assess, in populations of critically ill patients, whether a single induction dose of etomidate for emergency airway intervention affects mortality.The secondary objectives were to address, in populations of critically ill patients, whether a single induction dose of etomidate for emergency airway intervention affects adrenal gland function, organ dysfunction, or health services utilization (as measured by intensive care unit (ICU) length of stay (LOS), duration of mechanical ventilation, or vasopressor requirements).We repeated analyses within subgroups defined by the aetiologies of critical illness, timing of adrenal gland function measurement, and the type of comparator drug used.
</p>
<p>
<strong class="sub-title">
Search methods:
</strong>
We searched the Cochrane Central Register of Controlled Trials (CENTRAL); MEDLINE; CINAHL; EMBASE; LILACS; International Pharmaceutical Abstracts; Web of Science; the Database of Abstracts of Reviews of Effects (DARE); and ISI BIOSIS Citation index(SM) on 8 February 2013. We reran the searches in August 2014. We will deal with any studies of interest when we update the review.We also searched the Scopus database of dissertations and conference proceedings and the US Food and Drug Administration Database. We handsearched major emergency medicine, critical care, and anaesthesiology journals.We handsearched the conference proceedings of major emergency medicine, anaesthesia, and critical care conferences from 1990 to current, and performed a grey literature search of the following: Current Controlled Trials; National Health Service - The National Research Register; ClinicalTrials.gov; NEAR website.
</p>
<p>
<strong class="sub-title">
Selection criteria:
</strong>
We included randomized controlled trials in patients undergoing emergency endotracheal intubation for critical illness, including but not limited to trauma, stroke, myocardial infarction, arrhythmia, septic shock, hypovolaemic or haemorrhagic shock, and undifferentiated shock states. We included single (bolus) dose etomidate for emergency airway intervention compared to any other rapid-acting intravenous bolus single-dose induction agent.
</p>
<p>
<strong class="sub-title">
Data collection and analysis:
</strong>
Refinement of our initial search results by title review, and then by abstract review was carried out by three review authors. Full-text review of potential studies was based on their adherence to our inclusion and exclusion criteria. This was decided by three independent review authors. We reported the decisions regarding inclusion and exclusion in accordance with the PRISMA statement.Electronic database searching yielded 1635 potential titles, and our grey literature search yielded an additional 31 potential titles. Duplicate titles were filtered leaving 1395 titles which underwent review of their titles and abstracts by three review authors. Sixty seven titles were judged to be relevant to our review, however only eight met our inclusion criteria and seven were included in our analysis.
</p>
<p>
<strong class="sub-title">
Main results:
</strong>
We included eight studies in the review and seven in the meta-analysis. Of those seven studies, only two were judged to be at low risk of bias. Overall, no strong evidence exists that etomidate increases mortality in critically ill patients when compared to other bolus dose induction agents (odds ratio (OR) 1.17; 95% confidence interval (CI) 0.86 to 1.60, 6 studies, 772 participants, moderate quality evidence). Due to a large number of participants lost to follow-up, we performed a post hoc sensitivity analysis. This gave a similar result (OR 1.15; 95% CI 0.86 to 1.53). There was evidence that the use of etomidate in critically ill patients was associated with a positive adrenocorticotropic hormone (ACTH) stimulation test, and this difference was more pronounced at between 4 to 6 hours (OR 19.98; 95% CI 3.95 to 101.11) than after 12 hours (OR 2.37; 95% CI 1.61 to 3.47) post-dosing. Etomidate's use in critically ill patients was associated with a small increase in SOFA score, indicating a higher risk of multisystem organ failure (mean difference (MD) 0.70; 95% CI 0.01 to 1.39, 2 studies, 591 participants, high quality evidence), but this difference was not clinically meaningful. Etomidate use did not have an effect on ICU LOS (MD 1.70 days; 95% CI -2.00 to 5.40, 4 studies, 621 participants, moderate quality evidence), hospital LOS (MD 2.41 days; 95% CI -7.08 to 11.91, 3 studies, 152 participants, moderate quality evidence), duration of mechanical ventilation (MD 2.14 days; 95% CI -1.67 to 5.95, 3 studies, 621 participants, moderate quality evidence), or duration of vasopressor use (MD 1.00 day; 95% CI -0.53 to 2.53, 1 study, 469 participants).
</p>
<p>
<strong class="sub-title">
Authors&#x27; conclusions:
</strong>
Although we have not found conclusive evidence that etomidate increases mortality or healthcare resource utilization in critically ill patients, it does seem to increase the risk of adrenal gland dysfunction and multi-organ system dysfunction by a small amount. The clinical significance of this finding is unknown. This evidence is judged to be of moderate quality, owing mainly to significant attrition bias in some of the smaller studies, and new research may influence the outcomes of our review. The applicability of these data may be limited by the fact that 42% of the patients in our review were intubated for "being comatose", a population less likely to benefit from the haemodynamic stability inherent in etomidate use, and less at risk from its potential negative downstream effects of adrenal suppression.
</p>
</div>
</div>
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<div class="conflict-of-interest" id="conflict-of-interest">
<h2 class="title">
Conflict of interest statement
</h2>
<div class="statement">
<p xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:p1="http://pubmed.gov/pub-one">Eric Bruder: none known.</p>
<p xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:p1="http://pubmed.gov/pub-one">Ian Ball: none known.</p>
<p xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:p1="http://pubmed.gov/pub-one">Stacy Ridi: none known.</p>
<p xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:p1="http://pubmed.gov/pub-one">William Pickett: none known.</p>
<p xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:p1="http://pubmed.gov/pub-one">Corinne Hohl: Dr Hohl is a fulltime faculty member with the Department of Emergency Medicine at the University of British Columbia. She has received reimbursement for travel expenses by the Canadian Association of Emergency Physicians to present on this topic in Montreal, 2010.</p>
</div>
</div>
<div class="figures" id="figures">
<h2 class="title">
Figures
</h2>
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<p> 1 </p>
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<div class="figure-caption-contents"><p> Study flow diagram. </p></div>
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<div class="figure-caption-contents">Study flow diagram.</div>
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<p> 2 </p>
</strong>
<div class="figure-caption-contents"><p> Risk of bias graph: review authors'… </p></div>
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<p> 2 </p>
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<div class="figure-caption-contents"><p> Risk of bias graph: review authors' judgements about each risk of bias item presented… </p></div>
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2
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<div class="figure-caption-contents">Risk of bias graph: review authors' judgements about each risk of bias item presented as percentages across all included studies.</div>
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<p> 3 </p>
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<div class="figure-caption-contents"><p> Risk of bias summary: review authors'… </p></div>
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<strong class="figure-label">
<p> 3 </p>
</strong>
<div class="figure-caption-contents"><p> Risk of bias summary: review authors' judgements about each risk of bias item for… </p></div>
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<figcaption id="figure-caption-2" class="figure-caption-full figure-caption-text" itemtype="http://schema.org/ImageObject" itemprop="description">
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3
</strong>
<div class="figure-caption-contents">Risk of bias summary: review authors' judgements about each risk of bias item for each included study.</div>
</figcaption>
</figure>
<figure class="figure-item "
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itemprop="associatedMedia"
data-slide-index="3"
data-label-slug="11">
<a class="figure-link"
href="https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d541/6517008/da8ae8e8fdfa/nCD010225-CMP-001-01.jpg"
itemprop="contentUrl"
aria-describedby="figure-caption-3"
role="button"
data-image-width="566"
data-image-height="205"
data-image-alt="1.1"
data-pmc-id="PMC6517008"
data-figure-id="CD010225-fig-0004">
<img class="figure-thumb" itemprop="thumbnail"
id="article-image-3"
src="https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d541/6517008/d8d8c6fc58d3/nCD010225-CMP-001-01.gif"
alt="1.1" />
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<strong class="figure-label">
<p> 1.1. Analysis </p>
</strong>
<div class="figure-caption-contents"><p> Comparison 1 Etomidate versus all… </p></div>
</div>
</div>
<div class="figure-caption-medium figure-caption-text" aria-hidden="true">
<strong class="figure-label">
<p> 1.1. Analysis </p>
</strong>
<div class="figure-caption-contents"><p> Comparison 1 Etomidate versus all other induction agents, Outcome 1 Mortality: Data as… </p></div>
</div>
<figcaption id="figure-caption-3" class="figure-caption-full figure-caption-text" itemtype="http://schema.org/ImageObject" itemprop="description">
<strong class="figure-label">
1.1. Analysis
</strong>
<div class="figure-caption-contents">Comparison 1 Etomidate versus all other induction agents, Outcome 1 Mortality: Data as reported.</div>
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<strong class="figure-label">
<p> 1.2. Analysis </p>
</strong>
<div class="figure-caption-contents"><p> Comparison 1 Etomidate versus all… </p></div>
</div>
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<div class="figure-caption-medium figure-caption-text" aria-hidden="true">
<strong class="figure-label">
<p> 1.2. Analysis </p>
</strong>
<div class="figure-caption-contents"><p> Comparison 1 Etomidate versus all other induction agents, Outcome 2 Mortality: Data as… </p></div>
</div>
<figcaption id="figure-caption-4" class="figure-caption-full figure-caption-text" itemtype="http://schema.org/ImageObject" itemprop="description">
<strong class="figure-label">
1.2. Analysis
</strong>
<div class="figure-caption-contents">Comparison 1 Etomidate versus all other induction agents, Outcome 2 Mortality: Data as reported Subgroup analysis of comparator drugs.</div>
</figcaption>
</figure>
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<img class="figure-thumb" itemprop="thumbnail"
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<strong class="figure-label">
<p> 1.3. Analysis </p>
</strong>
<div class="figure-caption-contents"><p> Comparison 1 Etomidate versus all… </p></div>
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<div class="figure-caption-medium figure-caption-text" aria-hidden="true">
<strong class="figure-label">
<p> 1.3. Analysis </p>
</strong>
<div class="figure-caption-contents"><p> Comparison 1 Etomidate versus all other induction agents, Outcome 3 Mortality: Data as… </p></div>
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<strong class="figure-label">
1.3. Analysis
</strong>
<div class="figure-caption-contents">Comparison 1 Etomidate versus all other induction agents, Outcome 3 Mortality: Data as reported Subgroup analysis of etiology of shock.</div>
</figcaption>
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<p> 1.4. Analysis </p>
</strong>
<div class="figure-caption-contents"><p> Comparison 1 Etomidate versus all… </p></div>
</div>
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<div class="figure-caption-medium figure-caption-text" aria-hidden="true">
<strong class="figure-label">
<p> 1.4. Analysis </p>
</strong>
<div class="figure-caption-contents"><p> Comparison 1 Etomidate versus all other induction agents, Outcome 4 Mortality: Data as… </p></div>
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1.4. Analysis
</strong>
<div class="figure-caption-contents">Comparison 1 Etomidate versus all other induction agents, Outcome 4 Mortality: Data as reported Studies judged to be at low risk of bias.</div>
</figcaption>
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<p> 1.5. Analysis </p>
</strong>
<div class="figure-caption-contents"><p> Comparison 1 Etomidate versus all… </p></div>
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<div class="figure-caption-medium figure-caption-text" aria-hidden="true">
<strong class="figure-label">
<p> 1.5. Analysis </p>
</strong>
<div class="figure-caption-contents"><p> Comparison 1 Etomidate versus all other induction agents, Outcome 5 Mortality: Post Hoc… </p></div>
</div>
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1.5. Analysis
</strong>
<div class="figure-caption-contents">Comparison 1 Etomidate versus all other induction agents, Outcome 5 Mortality: Post Hoc ITT Analysis accounting for missing subjects.</div>
</figcaption>
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<p> 1.6. Analysis </p>
</strong>
<div class="figure-caption-contents"><p> Comparison 1 Etomidate versus all… </p></div>
</div>
</div>
<div class="figure-caption-medium figure-caption-text" aria-hidden="true">
<strong class="figure-label">
<p> 1.6. Analysis </p>
</strong>
<div class="figure-caption-contents"><p> Comparison 1 Etomidate versus all other induction agents, Outcome 6 ACTH Stimulation Test. </p></div>
</div>
<figcaption id="figure-caption-8" class="figure-caption-full figure-caption-text" itemtype="http://schema.org/ImageObject" itemprop="description">
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1.6. Analysis
</strong>
<div class="figure-caption-contents">Comparison 1 Etomidate versus all other induction agents, Outcome 6 ACTH Stimulation Test.</div>
</figcaption>
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data-figure-id="CD010225-fig-0010">
<img class="figure-thumb" itemprop="thumbnail"
id="article-image-9"
src="https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d541/6517008/bdcd765e6968/nCD010225-CMP-001-07.gif"
alt="1.7" />
</a>
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<strong class="figure-label">
<p> 1.7. Analysis </p>
</strong>
<div class="figure-caption-contents"><p> Comparison 1 Etomidate versus all… </p></div>
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</div>
<div class="figure-caption-medium figure-caption-text" aria-hidden="true">
<strong class="figure-label">
<p> 1.7. Analysis </p>
</strong>
<div class="figure-caption-contents"><p> Comparison 1 Etomidate versus all other induction agents, Outcome 7 Random Serum Cortisol… </p></div>
</div>
<figcaption id="figure-caption-9" class="figure-caption-full figure-caption-text" itemtype="http://schema.org/ImageObject" itemprop="description">
<strong class="figure-label">
1.7. Analysis
</strong>
<div class="figure-caption-contents">Comparison 1 Etomidate versus all other induction agents, Outcome 7 Random Serum Cortisol levels (μg/dL) after receiving intervention.</div>
</figcaption>
</figure>
<figure class="figure-item tail"
itemscope itemtype="http://schema.org/ImageObject"
itemprop="associatedMedia"
data-slide-index="10"
data-label-slug="18">
<a class="figure-link"
href="https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d541/6517008/1db306e357c4/nCD010225-CMP-001-08.jpg"
itemprop="contentUrl"
aria-describedby="figure-caption-10"
role="button"
data-image-width="566"
data-image-height="145"
data-image-alt="1.8"
data-pmc-id="PMC6517008"
data-figure-id="CD010225-fig-0011">
<img class="figure-thumb" itemprop="thumbnail"
id="article-image-10"
src="https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d541/6517008/51317e122476/nCD010225-CMP-001-08.gif"
alt="1.8" />
</a>
<meta itemprop="width" itemtype="http://schema.org/ImageObject" content="566">
<meta itemprop="height" itemtype="http://schema.org/ImageObject" content="145">
<div class="figure-caption figure-caption-text" itemtype="http://schema.org/ImageObject" itemprop="caption" aria-hidden="true">
<div class="caption-wrap">
<strong class="figure-label">
<p> 1.8. Analysis </p>
</strong>
<div class="figure-caption-contents"><p> Comparison 1 Etomidate versus all… </p></div>
</div>
</div>
<div class="figure-caption-medium figure-caption-text" aria-hidden="true">
<strong class="figure-label">
<p> 1.8. Analysis </p>
</strong>
<div class="figure-caption-contents"><p> Comparison 1 Etomidate versus all other induction agents, Outcome 8 Organ System Dysfunction… </p></div>
</div>
<figcaption id="figure-caption-10" class="figure-caption-full figure-caption-text" itemtype="http://schema.org/ImageObject" itemprop="description">
<strong class="figure-label">
1.8. Analysis
</strong>
<div class="figure-caption-contents">Comparison 1 Etomidate versus all other induction agents, Outcome 8 Organ System Dysfunction (SOFA Score).</div>
</figcaption>
</figure>
<figure class="figure-item tail"
itemscope itemtype="http://schema.org/ImageObject"
itemprop="associatedMedia"
data-slide-index="11"
data-label-slug="19">
<a class="figure-link"
href="https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d541/6517008/75e10015b022/nCD010225-CMP-001-09.jpg"
itemprop="contentUrl"
aria-describedby="figure-caption-11"
role="button"
data-image-width="566"
data-image-height="169"
data-image-alt="1.9"
data-pmc-id="PMC6517008"
data-figure-id="CD010225-fig-0012">
<img class="figure-thumb" itemprop="thumbnail"
id="article-image-11"
src="https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d541/6517008/f3a14bb7f2b9/nCD010225-CMP-001-09.gif"
alt="1.9" />
</a>
<meta itemprop="width" itemtype="http://schema.org/ImageObject" content="566">
<meta itemprop="height" itemtype="http://schema.org/ImageObject" content="169">
<div class="figure-caption figure-caption-text" itemtype="http://schema.org/ImageObject" itemprop="caption" aria-hidden="true">
<div class="caption-wrap">
<strong class="figure-label">
<p> 1.9. Analysis </p>
</strong>
<div class="figure-caption-contents"><p> Comparison 1 Etomidate versus all… </p></div>
</div>
</div>
<div class="figure-caption-medium figure-caption-text" aria-hidden="true">
<strong class="figure-label">
<p> 1.9. Analysis </p>
</strong>
<div class="figure-caption-contents"><p> Comparison 1 Etomidate versus all other induction agents, Outcome 9 ICU Length of… </p></div>
</div>
<figcaption id="figure-caption-11" class="figure-caption-full figure-caption-text" itemtype="http://schema.org/ImageObject" itemprop="description">
<strong class="figure-label">
1.9. Analysis
</strong>
<div class="figure-caption-contents">Comparison 1 Etomidate versus all other induction agents, Outcome 9 ICU Length of Stay.</div>
</figcaption>
</figure>
<figure class="figure-item tail"
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itemprop="associatedMedia"
data-slide-index="12"
data-label-slug="110">
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href="https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d541/6517008/b27e5b7a2aae/nCD010225-CMP-001-10.jpg"
itemprop="contentUrl"
aria-describedby="figure-caption-12"
role="button"
data-image-width="566"
data-image-height="157"
data-image-alt="1.10"
data-pmc-id="PMC6517008"
data-figure-id="CD010225-fig-0013">
<img class="figure-thumb" itemprop="thumbnail"
id="article-image-12"
src="https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d541/6517008/e9f7c7fba2f6/nCD010225-CMP-001-10.gif"
alt="1.10" />
</a>
<meta itemprop="width" itemtype="http://schema.org/ImageObject" content="566">
<meta itemprop="height" itemtype="http://schema.org/ImageObject" content="157">
<div class="figure-caption figure-caption-text" itemtype="http://schema.org/ImageObject" itemprop="caption" aria-hidden="true">
<div class="caption-wrap">
<strong class="figure-label">
<p> 1.10. Analysis </p>
</strong>
<div class="figure-caption-contents"><p> Comparison 1 Etomidate versus all… </p></div>
</div>
</div>
<div class="figure-caption-medium figure-caption-text" aria-hidden="true">
<strong class="figure-label">
<p> 1.10. Analysis </p>
</strong>
<div class="figure-caption-contents"><p> Comparison 1 Etomidate versus all other induction agents, Outcome 10 Hospital Length of… </p></div>
</div>
<figcaption id="figure-caption-12" class="figure-caption-full figure-caption-text" itemtype="http://schema.org/ImageObject" itemprop="description">
<strong class="figure-label">
1.10. Analysis
</strong>
<div class="figure-caption-contents">Comparison 1 Etomidate versus all other induction agents, Outcome 10 Hospital Length of Stay.</div>
</figcaption>
</figure>
<figure class="figure-item tail"
itemscope itemtype="http://schema.org/ImageObject"
itemprop="associatedMedia"
data-slide-index="13"
data-label-slug="111">
<a class="figure-link"
href="https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d541/6517008/379c5466f430/nCD010225-CMP-001-11.jpg"
itemprop="contentUrl"
aria-describedby="figure-caption-13"
role="button"
data-image-width="566"
data-image-height="169"
data-image-alt="1.11"
data-pmc-id="PMC6517008"
data-figure-id="CD010225-fig-0014">
<img class="figure-thumb" itemprop="thumbnail"
id="article-image-13"
src="https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d541/6517008/60e69ffe91ac/nCD010225-CMP-001-11.gif"
alt="1.11" />
</a>
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<div class="caption-wrap">
<strong class="figure-label">
<p> 1.11. Analysis </p>
</strong>
<div class="figure-caption-contents"><p> Comparison 1 Etomidate versus all… </p></div>
</div>
</div>
<div class="figure-caption-medium figure-caption-text" aria-hidden="true">
<strong class="figure-label">
<p> 1.11. Analysis </p>
</strong>
<div class="figure-caption-contents"><p> Comparison 1 Etomidate versus all other induction agents, Outcome 11 Duration of Mechanical… </p></div>
</div>
<figcaption id="figure-caption-13" class="figure-caption-full figure-caption-text" itemtype="http://schema.org/ImageObject" itemprop="description">
<strong class="figure-label">
1.11. Analysis
</strong>
<div class="figure-caption-contents">Comparison 1 Etomidate versus all other induction agents, Outcome 11 Duration of Mechanical Ventilation.</div>
</figcaption>
</figure>
<figure class="figure-item tail"
itemscope itemtype="http://schema.org/ImageObject"
itemprop="associatedMedia"
data-slide-index="14"
data-label-slug="112">
<a class="figure-link"
href="https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d541/6517008/d884da2da432/nCD010225-CMP-001-12.jpg"
itemprop="contentUrl"
aria-describedby="figure-caption-14"
role="button"
data-image-width="566"
data-image-height="145"
data-image-alt="1.12"
data-pmc-id="PMC6517008"
data-figure-id="CD010225-fig-0015">
<img class="figure-thumb" itemprop="thumbnail"
id="article-image-14"
src="https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d541/6517008/4703d42f5bbc/nCD010225-CMP-001-12.gif"
alt="1.12" />
</a>
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<strong class="figure-label">
<p> 1.12. Analysis </p>
</strong>
<div class="figure-caption-contents"><p> Comparison 1 Etomidate versus all… </p></div>
</div>
</div>
<div class="figure-caption-medium figure-caption-text" aria-hidden="true">
<strong class="figure-label">
<p> 1.12. Analysis </p>
</strong>
<div class="figure-caption-contents"><p> Comparison 1 Etomidate versus all other induction agents, Outcome 12 Duration of Vasopressor… </p></div>
</div>
<figcaption id="figure-caption-14" class="figure-caption-full figure-caption-text" itemtype="http://schema.org/ImageObject" itemprop="description">
<strong class="figure-label">
1.12. Analysis
</strong>
<div class="figure-caption-contents">Comparison 1 Etomidate versus all other induction agents, Outcome 12 Duration of Vasopressor Support.</div>
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References
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<h4 class="refs-list-title">References to studies included in this review</h4>
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<h5 class="refs-list-title">Absalom 1999 {published data only}</h5>
<ol id="top-references-list-2" class="references-list">
<li>
<ol class="references-and-notes-list">
<li
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value="1">
Absalom A, Pledger D, Kong A. Adrenocortical function in critically ill patients 24 h after a single dose of etomidate. Anaesthesia 1999;54(9):8617. [PUBMED: 10460557]
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Absalom AR, Pledger DR, Kong A. Effects of a single dose of etomidate on adrenocortical function in the critically ill. British Journal of Anaesthesia 1997;79 (5):679P.
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<h5 class="refs-list-title">Cinar 2010 {published data only}</h5>
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<li
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Cinar O, Pirat A, Zeyneloglu P, Bayraktar N, Arslan G. Hemodynamic and metabolic responses to ketamine and etomidate sedations during endotracheal intubation in critically ill patients. Critical Care Medicine. Conference: 40th Critical Care Congress of the Society of Critical Care Medicine San Diego, CA United States. San Diego, CA United States, 2010; Vol. 38 (12 Suppl).
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<div class="refs-list">
<h5 class="refs-list-title">Hildreth 2008 {published data only}</h5>
<ol id="top-references-list-4" class="references-list">
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value="1">
Hildreth AN, Mejia VA, Maxwell RA, Smith PW, Dart BW, Barker DE. Adrenal suppression following a single dose of etomidate for rapid sequence induction: a prospective randomized study. Journal of Trauma Injury, Infection, and Critical Care 2008;65(3):5738. [PUBMED: 18784570]
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<h5 class="refs-list-title">Jabre 2009 {published data only}</h5>
<ol id="top-references-list-5" class="references-list">
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Jabre P, Combes X, Lapostolle F, Dhaouadi M, RicardHibon A, Vivien B, et al. Etomidate versus ketamine for rapid sequence intubation in acutely ill patients: a multicentre randomised controlled trial. Lancet 2009;374(9686):293300. [PUBMED: 19573904]
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<h5 class="refs-list-title">Jacoby 2006 {published data only}</h5>
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Jacoby J, Heller M, Nicholas J, Patel N, Cesta M, Smith G, et al. Etomidate Versus Midazolam for OutofHospital Intubation: A Prospective, Randomized Trial. Annals of Emergency Medicine 2006;47(6):52530. [PUBMED: 16713778]
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<li
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Jacoby JL, Cesta M, McGee J, Heller MB, Reed J. Etomidate versus midazolam for outof hospital Intubation: A prospective randomized trial Abstract 175 ACEP Research Forum 2003. Annals Of Emergency Medicine 2003;42(4):S48.
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<h5 class="refs-list-title">Koksal 2013 {unpublished data only}</h5>
<ol id="top-references-list-7" class="references-list">
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<li
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value="1">
Koksal G. The effect of single dose of etomidate used during emergency intubation on hemodynamics and adrenal cortex. Unpublished manuscript N/A.
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<h5 class="refs-list-title">Schenarts 2001 {published data only}</h5>
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value="1">
Schenarts CL, Burton JH, Riker RR. Adrenocortical dysfunction following etomidate induction in emergency department patients. Academic Emergency Medicine 2001;8(1):17. [PUBMED: 11136139]
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class="skip-numbering"
value="1">
Schenarts CL, Riker RR. 1999 SAEM Annual Meeting abstracts. Abstract 449: Adrenocortical dysfunction following etomidate induction in emergency department. Academic Emergency Medicine 1999;6(5):520.
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<h5 class="refs-list-title">Tekwani 2010 {published data only}</h5>
<ol id="top-references-list-9" class="references-list">
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<ol class="references-and-notes-list">
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value="1">
Tekwani K, Watts H, Sweis R, Rzechula K, Kulstad E. The effect of etomidate on hospital length of stay of patients with sepsis: A prospective, randomized study: Conference: American College of Emergency Physicians, ACEP 2009 Research Forum. Annals of Emergency Medicine 2009;54(3):S4.
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value="1">
Tekwani KL, Watts HF, Sweis RT, Rzechula KH, Kulstad EB. A comparison of the effects of etomidate and midazolam on hospital length of stay in patients with suspected sepsis: a prospective, randomized study. Annals of Emergency Medicine 2010;56(5):4819. [PUBMED: 20828877]
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<div class="refs-list">
<h4 class="refs-list-title">References to studies excluded from this review</h4>
<div class="refs-list">
<h5 class="refs-list-title">Asehnoune 2012 {published data only}</h5>
<ol id="top-references-list-11" class="references-list">
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value="1">
Asehnoune K, Mahe PJ, Seguin P, Jaber S, Jung B, Guitton C, et al. Etomidate increases susceptibility to pneumonia in trauma patients. Intensive Care Medicine 2012;38(10):167382. [PUBMED: 22777514]
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<a
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href="/22777514/"
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<div class="refs-list">
<h5 class="refs-list-title">Baird 2009 {published data only}</h5>
<ol id="top-references-list-12" class="references-list">
<li>
<ol class="references-and-notes-list">
<li
class="skip-numbering"
value="1">
Baird CR, Hay AW, McKeown DW, Ray DC. Rapid sequence induction in the emergency department: induction drug and outcome of patients admitted to the intensive care unit. Emergency Medicine Journal 2009;26(8):5769. [PUBMED: 19625554]
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<a
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</div>
<div class="refs-list">
<h5 class="refs-list-title">Borner 1985 {published data only}</h5>
<ol id="top-references-list-13" class="references-list">
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<ol class="references-and-notes-list">
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value="1">
Borner U, Gips H, Boldt J, Hoge R, Bormann B, Hempelmann G. [Effect of an introductory dose of etomidate, methohexital and midazolam on adrenal cortex function before and after ACTHstimulation]. Deutsche Medizinische Wochenschrift 1985;10(19):7502.
-
<a
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href="/2986932/"
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<div class="refs-list">
<h5 class="refs-list-title">Bramwell 2002 {published data only}</h5>
<ol id="top-references-list-14" class="references-list">
<li>
<ol class="references-and-notes-list">
<li
class="skip-numbering"
value="1">
Bramwell KJ, Haizlip J, Pribble C, VanDerHeyden TC, Witte M. The effect of etomidate on intracranial pressure, mean arterial pressure, and cerebral perfusion pressure in pediatric patients with severe traumatic brain injury. Annals of Emergency Medicine 2002;40(4):S22.
-
<a
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<h5 class="refs-list-title">Cherfan 2011 {published data only}</h5>
<ol id="top-references-list-15" class="references-list">
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value="1">
Cherfan AJ, Tamim HM, AlJumah A, Rishu AH, AlAbdulkareem A, Al Knawy BA, et al. Etomidate and mortality in cirrhotic patients with septic shock. BMC Clinical Pharmacology 2011;11:22. [PUBMED: 22208901]
-
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<h5 class="refs-list-title">Cotton 2008 {published data only}</h5>
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<ol class="references-and-notes-list">
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value="1">
Cotton BA, Guillamondegui OD, Fleming SB, Carpenter RO, Patel SH, Morris JA Jr, et al. Increased risk of adrenal insufficiency following etomidate exposure in critically injured patients. Archives of Surgery 2008;143(1):627. [PUBMED: 18209154]
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<div class="refs-list">
<h5 class="refs-list-title">Cuthbertson 2009 {published data only}</h5>
<ol id="top-references-list-17" class="references-list">
<li>
<ol class="references-and-notes-list">
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value="1">
Cuthbertson BH, Sprung CL, Annane D, Chevret S, Garfield M, Goodman S, et al. The effects of etomidate on adrenal responsiveness and mortality in patients with septic shock. Intensive Care Medicine 2009;35(11):186876. [PUBMED: 19652948]
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<div class="refs-list">
<h5 class="refs-list-title">den Brinker 2008 {published data only}</h5>
<ol id="top-references-list-18" class="references-list">
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<ol class="references-and-notes-list">
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value="1">
Brinker M, HokkenKoelega ACS, Hazelzet JA, Jong FH, Hop WCJ, Joosten KFM. One single dose of etomidate negatively influences adrenocortical performance for at least 24h in children with meningococcal sepsis. Intensive Care Medicine 2008;34(1):1638. [PUBMED: 17710382]
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<h5 class="refs-list-title">Dmello 2010 {published data only}</h5>
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<ol class="references-and-notes-list">
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value="1">
Dmello D, Taylor S, O'Brien J, Matuschak GM. Outcomes of etomidate in severe sepsis and septic shock. Chest 2010;138(6):132732. [PUBMED: 20651024]
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<h5 class="refs-list-title">Ehrman 2010 {published data only}</h5>
<ol id="top-references-list-20" class="references-list">
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<ol class="references-and-notes-list">
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class="skip-numbering"
value="1">
Ehrman R, Wira C, Hayward A, Lomax A, Mullen M. Etomidate use In sepsis does not increase mortality. Annals of Emergency Medicine 2010;56(3):S117.
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</div>
<div class="refs-list">
<h5 class="refs-list-title">McPhee 2013 {published data only}</h5>
<ol id="top-references-list-21" class="references-list">
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McPhee LC, Badawi O, Fraser GL, Lerwick PA, Riker RR, Zuckerman IH, et al. Singledose etomidate is not associated with increased mortality in ICU patients with sepsis: analysis of a large electronic ICU database. Critical Care Medicine 2013;41(3):77483. [PUBMED: 23318491]
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<h5 class="refs-list-title">Mohammad 2006 {published data only}</h5>
<ol id="top-references-list-22" class="references-list">
<li>
<ol class="references-and-notes-list">
<li
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value="1">
Mohammad Z, Afessa B, Finkielman JD. The incidence of relative adrenal insufficiency in patients with septic shock after the administration of etomidate. Critical Care 2006;10(4):R105. [PUBMED: 16859529]
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<h5 class="refs-list-title">Morel 2011 {published data only}</h5>
<ol id="top-references-list-23" class="references-list">
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<ol class="references-and-notes-list">
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value="1">
Morel J, Salard M, Castelain C, Bayon MC, Lambert P, Vola M, et al. Haemodynamic consequences of etomidate administration in elective cardiac surgery: a randomized doubleblinded study. British Journal of Anaesthesia 2011;107(4):5039. [PUBMED: 21685487 ]
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<h5 class="refs-list-title">Ray 2007 {published data only}</h5>
<ol id="top-references-list-24" class="references-list">
<li>
<ol class="references-and-notes-list">
<li
class="skip-numbering"
value="1">
Ray DC, McKeown DW. Effect of induction agent on vasopressor and steroid use, and outcome in patients with septic shock. Critical Care 2007;11(3):R56. [PUBMED: 17506873]
-
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