[Verse 1]
Two paths to unconscious — needle or the mask,
Propofol drops the pressure, so you have to ask:
Is the ventricle compensating, preload holding on?
Bolus plus ketamine when the gradient's gone.
Co-induction blends the agents, cuts the doses down,
Midazolam with fentanyl before the propofol crown.
Volatile induction when the vein won't show,
Sevoflurane smooth and steady — watch the capnograph glow.
[Chorus]
Préparez-vous, the airway plan is set,
RSI for the full stomach — don't forget.
Succinylcholine sixty seconds to the floor,
Sellick's hand on the cricoid, bimanual pressure more.
Préparez-vous — the shock patient waits,
Ketamine holds the sympathetics at the gates.
Difficult airway mapped before you start,
Videolaryngoscope in hand, bougie close to the heart.
[Verse 2]
Raised ICP demands a calculated mind,
Blunt the pressor surge or leave herniation behind.
Lidocaine, fentanyl, propofol controlled,
Avoid the succinylcholine fasciculation bold.
Rocuronium works just as fast with sugammadex near,
Modified RSI in the ICP sphere.
Ventilate with purpose — eucapnia the aim,
Hyperventilation's rescue-only, not a routine game.
[Verse 3]
Septic shock — the vasodilated, tachycardic mess,
Fluid-load before induction under duress.
Ketamine or etomidate, spare the cortisol debate,
Push-dose epinephrine ready at the gate.
Cardiac disease demands you know the lesion first —
Aortic stenosis needs a slower, gentle burst.
Tamponade needs rate and preload, vasodilators kill,
Phenylephrine on the syringe — steady hand, steady will.
[Bridge]
L'obstétrique — deux vies sur la table,
RSI obligatoire, aspiration capable.
Thiopental fades but propofol's here,
Cricoid, left uterine tilt, the fetal Dopplers clear.
The pediatric patient — inhalational first,
Sevoflurane on the mask until the vein's rehearsed.
Calculate the weight, the tube uncuffed below eight,
Atropine for bradycardia — vagal reflex won't wait.
[Chorus]
Préparez-vous, the airway plan is set,
RSI for the full stomach — don't forget.
Succinylcholine sixty seconds to the floor,
Sellick's hand on the cricoid, bimanual pressure more.
Préparez-vous — the shock patient waits,
Ketamine holds the sympathetics at the gates.
Difficult airway mapped before you start,
Videolaryngoscope in hand, bougie close to the heart.
[Outro]
Plan A, Plan B, the surgical airway last,
Declare the difficult early — the moment passes fast.
Every induction scripted like a calibrated score,
Hémodynamique stable — then you open up the door.