In adult advanced airway (Facilitated Laryngoscopy), what is the maximum Etomidate dose?

• A. 20 mg
• B. 40 mg
• C. 60 mg
• D. 30 mg

Answer: (D)

Dosing for etomidate in adult facilitated laryngoscopy uses a weight-based induction dose of about 0.3 mg/kg, with a practical ceiling of around 30 mg. This single-dose amount balances rapid hypnosis with hemodynamic stability while avoiding excessive depth of anesthesia and prolonged adrenal suppression. For an average adult, 0.3 mg/kg often comes out near or below 30 mg, so 30 mg serves as the commonly accepted maximum single dose in this scenario. Doses like 40 mg or 60 mg exceed this practical ceiling and can lead to deeper anesthesia and increased risks, while 20 mg may be insufficient for some patients depending on weight.