The Pragmatic Critical Care Research Group (PCCRG) is a network of emergency medicine, anesthesiology, and critical care clinicians and researchers at more than 25 hospitals across the United States that embeds pragmatic trials within clinical care to improve outcomes for acutely ill patients.

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American Association for Respiratory Care blog : The Case for Etomidate, Steroid Safety in Pneumonia, and RSV’s Link to Childhood Asthma

Dec 2025

outlet: American Association for Respiratory Care blog 

A new study published in The New England Journal of Medicine suggests that etomidate may be a better sedative for patients undergoing endotracheal intubation than ketamine.

The finding comes from investigators at Vanderbilt Health and elsewhere who conducted a randomized trial involving 2,365 patients in 14 U.S. emergency departments and ICUs. About half of the patients were intubated using ketamine, and the other half were intubated using etomidate.

The use of etomidate significantly decreased the risk of dangerously low blood pressures during the procedure when compared with ketamine without any impact on the risk of death.

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