Comparative Study of Rocuronium And Succinylcholine For Rapid Sequence Induction Of Anaesthesia
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 9
Abstract
Introduction: Succinylcholine chloride remains Gold standard neuromuscular blocking drug in providing ideal intubating conditions in Rapid sequence intubation. Rocuronium bromide is the only drug currently available which has the rapidity of onset of action like succinylcholine chloride. Hence the present study was undertaken to compare rocuronium bromide with succinylcholine chloride for use during rapid sequence intubation in adult patients. Results: It was noted that succinylcholine chloride 1.5 mg kg-1 body weight produced excellent intubating conditions in 96.67% patients. Rocuronium bromide 0.6 mg kg-1 body weight produced excellent intubating conditions in 60% of patients but produced good intubating conditions in 36.67% of patients. Rocuronium bromide 0.9 mg kg-1 body weight produced excellent intubating conditions in 93.33% of patients, which was comparable to that of succinylcholine chloride. Thus increasing the dose of rocuronium bromide increased the number of excellent intubating conditions but at the cost of increased duration of action. Conclusion: Thus, from the present study, it is clear that succinylcholine chloride is the drug of choice for rapid sequence intubation. Rocuronium bromide is a safe alternative to succinylcholine chloride in conditions where succinylcholine chloride is contraindicated and in whom there is no anticipated difficult airway.
Authors and Affiliations
Dr. Bommisetty Trinath Kumar, Dr. Balleda Sandhya
Keywords
Related Articles
- EP ID EP395412
- DOI 10.9790/0853-1709080513.
- Views 108
- Downloads 0
Adverse Health effects Associated with Shift Work
Shift work is the integral part of many occupations. WHO listed shift wok that involves disruption of circadian disruption as a probablecarcinogen? Shift work increases the risk for the development of many health disorde...
A Comparison of Intrathecal Fentanyl or Placebo Added To Bupivacaine in Prevention of Intra-Operative and Early PostOperative Emesis in Cesarean Section Performed Under Spinal Anaesthesia
Background: The high incidence of intraoperative nausea and vomiting in cesarean section under spinal anaesthesia is distressing to the parturients and disturbing to the surgeons by causing protrusion of abdominal viscer...
Cognitive Assessment in Middle And Elderly Aged Patients Undergoing Non-Cardiac Surgery Using Mini Mental Status Examination Score in Tertiary Care Hospital- A Prospective Observational Study.
Background: Post operative cognitive decline is more commonly seen in elderly aged patients undergoing noncardiac surgery. The Mini Mental Status Examination (MMSE) score is routinely used as a screening test to assess t...
A Comparative Study of Etiology of Cut Injury Neck Amongst Tribals Presenting in Ent Department of A Tertiary Care Hospital of Jharkhand.
Introduction: Penetrating neck trauma involves trauma by a sharp object penetrating the skin and violating the platysma layer of the neck.These are both complex and challenging to manage. It is a common presentation in o...
Cytological evaluation of false negative rate in thyroid: an institutional experience
Background: FNAC is a simple, safe, cost effective diagnostic procedure that provides rapid diagnosis in evaluation of thyroid lesions. Aim: The aim of this study was to analyse false negatives and false positives in pal...