Options for endotracheal intubation include succinylcholine, intubation without an NMBA (eg, high dose remifentanil intubation, although this technique is associated with more trauma), or rocuronium or vecuronium if sugammadex is available for rapid reversal of block. (See 'Sugammadex' below.)
Average dose succinylcholine 1.65mg/kg IQR 1.26-1.95mg/kg); roc 1.19 intubation success 72.6% (succinylcholine) vs. 72.9
condition like succinylcholine while 0.6 mg/kg dose is not. different doses and succinylcholine for endotracheal intubation in adult patients.
Key words: rapid sequence intubation; RSI; etomidate; intubation; The right dose of succinylcholine. Anesthesiology. 2024;37-8. 8. Skinner HJ
However, in the combination of sevoflurane and succinylcholine, an ideal dose of succinylcholine that produces optimal intubation conditions, allows tracheal intubation while maintaining shorter time to recovery of spontaneous respiration, and avoids critical oxyhemoglobin desaturation in patients at risk of intubation failure, has not been
(see contraindications). Synonyms. Succinylcholine chloride, succinylcholine. Dose and Indications. Intubation (Depolarising Muscle Relaxant). Intravenous. 2
Numerous reviews have concluded that succinylcholine provides better intubating conditions than rocuronium, but other observational studies have reported that when rocuronium is used at a dose higher than 1 mg/kg, intubation is as successful as with succinylcholine. Consequently, surveys have reported a marked increase in rocuronium use
For emergency department rapid sequence intubation, the best dose of succinylcholine is 1.5 mg/kg of total body weight, regardless of whether
Objectives: To determine if rocuronium creates comparable intubating conditions to succinylcholine during RSI intubation. Comparisons were made based on dose of rocuronium, narcotic use, emergency versus elective intubation, age and induction agent. The primary outcome was excellent intubation conditions.
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