COMPARATIVE STUDY OF ROCURONIUM AND SUXAMETHONIUM IN ENDOTRACHEAL INTUBATION
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 50
Abstract
BACKGROUND Tracheal intubation is one of the best methods of securing a patent airway. Good intubating conditions minimise the risk of trauma associated with tracheal intubation. Intubating conditions (muscle tone, vocal cords position, reaction to laryngoscopy and tube positioning) depend on depth of anaesthesia and kind of anaesthetic used. Tracheal intubation is commonly facilitated by muscle relaxation. Rocuronium has rapid onset of action, which is comparable to suxamethonium. It has been shown to produce intubating conditions similar to those produced by suxamethonium. This study compares rocuronium and suxamethonium in tracheal intubation. MATERIALS AND METHODS A total of 100 patients of ASA grade 1 and 2 for elective surgeries under general anaesthesia were recruited for this study after obtaining clearance from institutional ethics committee and informed consent from the patients. These 100 patients were divided into 2 groups, group R received rocuronium and group S received suxamethonium. All patients underwent through preanaesthetic checkup on the day before surgery. Thorough airway assesssment was done to rule out difficult intubation. Patients were advised to be nil orally from 10 p.m. onwards, the night before surgery. RESULTS The intubating conditions in the rocuronium group were found to be excellent in 50%, fair in 34% and satisfactory in 16% of the patients compared to excellent in 68%, fair in 32% in suxamethonium group. Clinically, acceptable intubating conditions were seen in 84% and 100% of patients administered rocuronium and suxamethonium, respectively. CONCLUSION Rocuronium in a dose of 0.6 mg/kg is a suitable alternative to suxamethonium in a dose of 1.5 mg/kg in premedicated and anaesthetised patients scheduled for elective surgeries.
Authors and Affiliations
Dadichiluka Veeragouri Sankararao, Kesava Vamsikrishna Bhairavabhatla
Keywords
Related Articles
- EP ID EP220184
- DOI 10.18410/jebmh/2017/599
- Views 124
- Downloads 0
HAEMOGLOBIN E/BETA-THALASSEMIA: A CASE REPORT FROM UPPER ASSAM, INDIA
We report here a patient from upper Assam region of India with Hb E/β thalassemia disease, whose father belongs to the tea garden community and mother is Assamese where Hb E is very common. The patient was suffering from...
A COMPARATIVE STUDY OF SUCCESS RATE AND COMPLICATIONS OF EXTERNAL DACRYOCYSTORHINOSTOMY AND LASER ASSISTED DACRYOCYSTORHINOSTOMY
PURPOSE: To compare the success rate and complications of external dacryocystorhinostomy (ExDCR) and transcanalicular laser assisted dacryocysto-rhinostomy (TCLDCR) surgeries performed in patients with primary acquired n...
A STUDY ON CORNEAL ASTIGMATISM IN PTERYGIUM CASES BEFORE AND AFTER SURGERY
BACKGROUND Pterygium is a common degenerative condition seen in the Indian subcontinent. One of the indications for pterygium excision is visual impairment due to astigmatism. Several mechanisms have been suggested to ex...
A STUDY ON PAROTID SWELLINGS
BACKGROUND Swellings of the parotid gland are of special interest to a surgeon’s keen eye. These lesions are not only involved in diseases isolated to the parotid, but can also present as a part of a generalised systemic...
A STUDY ON CORRELATION OF DIABETIC RETINOPATHY IN RELATION TO DIABETIC NEPHROPATHY IN TYPE II DM PATIENTS
Diabetes mellitus is one of the most common metabolic disorders of multiple etiology. The multisystem effects of diabetes such as retinopathy, nephropathy, neuropathy and cardiovascular diseases have an important impingi...