Why do we not perform facilitated intubation?

Facilitated intubation is the use of sedative medications to assist in the placement of an advanced airway such as an endotracheal tube. Facilitated intubation is a very high-risk procedure and when performed in the prehospital environment is associated with a doubling of mortality. As intubation is a difficult procedure best done in a controlled environment with multiple backup tools, facilitated intubation is not appropriate in the pre-hospital setting.