Which of the following is NOT part of the standard endotracheal drug list abbreviated as VLEAN?

Which of the following is NOT part of the standard endotracheal drug list abbreviated as VLEAN?

• A. Vasopressin
• B. Lidocaine
• C. Epinephrine
• D. Adenosine

Answer: (D)

Endotracheal drug administration relies on a small, specific set of medications chosen for reliable absorption through the airway when IV access isn’t available. The VLEAN mnemonic names the drugs suitable for this route: Vasopressin, Lidocaine, Epinephrine, Atropine, and Naloxone. These have established endotracheal dosing concepts and have historically been used in resuscitation when IV/IO access is delayed or unavailable. Adenosine, in contrast, is an antiarrhythmic used primarily via IV to rapidly terminate certain supraventricular tachycardias. It does not have a reliable endotracheal absorption profile, and there is no standard endotracheal dosing for it within the VLEAN framework. Therefore, Adenosine is not part of the standard endotracheal drug list.

Endotracheal drug administration relies on a small, specific set of medications chosen for reliable absorption through the airway when IV access isn’t available. The VLEAN mnemonic names the drugs suitable for this route: Vasopressin, Lidocaine, Epinephrine, Atropine, and Naloxone. These have established endotracheal dosing concepts and have historically been used in resuscitation when IV/IO access is delayed or unavailable.

Adenosine, in contrast, is an antiarrhythmic used primarily via IV to rapidly terminate certain supraventricular tachycardias. It does not have a reliable endotracheal absorption profile, and there is no standard endotracheal dosing for it within the VLEAN framework. Therefore, Adenosine is not part of the standard endotracheal drug list.