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Many thanks to ER MD for restructuring the backbone article, which is excellent. Three points of contention. First, etomidate is not an analgesic. Secondly, etomidate is not the only imidazole with anaesthetic or sedative properties (midazolam also contains an imidazole ring, as suggested by its name). Thirdly, etomidate is not appreciably more expensive (as a fraction of the total cost of an anaesthetic) than propofol or thiopental. Methohexitone is no longer available in the UK or New Zealand. Best wishes, Preacherdoc 04:58, 2 May 2006 (UTC)Preacherdoc.
The etomidate is contrindicated when there is a diagnosis of porphyria like methohexitone and thiopentone Ref: Anesthetic pharmacology Evers-Maze 2005
Halimi Patrick MD
The Etomidate is contra indicated in porphyria
PatrickHalimi MD User: patrickhalimi 5th October 2006
Gave a rapid IV push of 20 mg (MD's orders, not mine) etomidate tonight for moderate sedation to reduce a dislocated shoulder...shoulder popped right back in, but, however, observed significant and prolonged fasciculations afterwards, before Pt. had come out of sedation...after coming out of sedation, Pt. had extreme chills, needed 3 warmed blankets with which he even wanted to cover his entire face as he felt that cold. Pt. did not feel warmed up for some time after procedure. Are chills a common (or perhaps even uncommon) effect of this medication? Question comes from a student; wondering about adverse reactions others may have observed. G-my (talk) 07:33, 10 January 2009 (UTC)
I'm not certain how to do it, however I personally believe a "link" for eSAM would be a helpful search link. Dennis Lynn, MD User: CommonMed — Preceding unsigned comment added by CommonMed (talk • contribs) 01:25, 6 October 2013 (UTC)