Tag Archive for: Neuromuscular Blockade

Succinylcholine or Rocuronium for 1st Pass Success Rate

08 Jun
June 8, 2018

Background: Administration of a neuromuscular blocker (NMB) is an essential part of Emergency Department  (ED) airway management for facilitating ideal airway conditions and is most commonly performed with either succinylcholine or rocuronium. Despite extensive debates between providers, one agent has not been shown to be superior to other. Limited anesthesia literature has shown that succinylcholine may provider better intubating conditions but it has a number of contraindications (which may not be initially apparent)(Shoenberger 2018). Rocuronium at high doses has a similar onset of action to succinylcholine and may provider longer safe apneic times (Swaminathan 2018). This study seeks to add more information to the clinical discussion. Read more →

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