Adult Critical Care Specialty (ACCS) Practice Exam

Which agent is most appropriate as a sedative-hypnotic during airway management?

1. Propofol

2. Succinylcholine

3. Vecuronium bromide

4. Rocuronium

The correct answer is: Propofol

Propofol is the most appropriate agent as a sedative-hypnotic during airway management due to its rapid onset and short duration of action, making it particularly suitable for procedures that require sedation while allowing for quick recovery. It provides effective sedation, which is essential during airway management to facilitate intubation and ensure patient comfort. Furthermore, its favorable side effect profile compared to other sedative agents enhances its use in critical care settings. The other agents listed do not have the same characteristics. Succinylcholine, vecuronium bromide, and rocuronium are neuromuscular blocking agents rather than sedatives. These agents are primarily used to induce paralysis rather than provide sedation and cannot address the patient's discomfort or anxiety during airway procedures. While neuromuscular blockers are crucial in certain situations to help with intubation, they must always be used in conjunction with an appropriate sedative for patient safety and comfort. Hence, while those agents are vital for airway management, propofol is the preferred choice for sedation within this context.