A Comparative Study of Intubating Conditions and Cardiovascular Effects of Rocuronium and Succinylcholine in Rapid Sequence Induction and Intubation
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 6
Abstract
Aim of Study: Succinylcholine is the most frequently used muscle relaxant for rapid sequence intubation but sometimes the need arises to use another agent. The aim of our study is to compare the haemodynamic profile and intubating conditions of rocuronium with that of succinylcholine during rapid sequence induction and intubation. Material and Methods: 80 patients posted for emergency surgical procedure under general anaesthesia were randomly divided into two groups A & B. A rapid sequence induction and intubation were done in all the patients. Group a patients received 0.6mg/kg rocuronium and Group B received 1.5mg/kg succinylcholine. Intubation was done at 60 seconds after the administration of muscle relaxant and intubating conditions was graded according to Copenhagen Consensus Conference Rating Scale. The haemodynamic parameters (pulse rate& blood pressure) were recorded and compared. Results: In both the groups pulse rate and blood pressure increases significantly just after intubation but the increase was not significant after 10 minutes. There was no significant difference regarding laryngoscopy, vocal cord relaxation and response to intubation in both the groups. Overall intubating conditions in group A and B were excellent in 77.5% and 82.5% while good in 20% and17.5% patients respectively. Only one patient (2.5%) in group A showed poor intubating condition. Clinically acceptable intubating conditions (excellent & good) were comparable in both the groups. Conclusion: Rocuronium 0.6mg/kg provides clinically acceptable intubating conditions similar to succinylcholine 1.5mg/kg at 60 second during rapid sequence induction and intubation with minimum haemodynamic variations.
Authors and Affiliations
Dr Ibemhal Heisnam
Keywords
Related Articles
- EP ID EP286146
- DOI -
- Views 77
- Downloads 0
Comparative Evaluation of two Different Fractionation Radiotherapy Schedules in Post Mastectomy Cases of Carcinoma Breast
Background: Breast cancer is the most common malignant neoplasm and a leading cause of death in women worldwide. Radiation therapy for breast cancer is usually performed after surgery and is an integral component of brea...
To study the association of high risk factors and the postpartum hemorrhage at Tertiary Care Centre of Indore
Postpartum haemorrhage (PPH) is a potentially life-threatening event. In the majority of cases, relatively simple methods are used to avert a disaster, although these are not always employed.[1] Uterine tamponade using i...
Analysis of Serum Zinc, Protein and Albumin Levels in Psoriasis: A Case Control Study
Psoriasis is a common, chronic, T-cell–mediated inflammatory disease of the skin which has both environmental and genetic components to its etiology. Psoriatic lesions are characterised by hyperproliferation of epidermal...
Understanding of Clinical Presentation, Timing of Presentation and the Outcome in the Development of Necrotizing Enterocolitis
Background: Necrotizing Enterocolitis (NEC) remains as the disease with significant morbidity and mortality in preterm infants. The lack of universally reliable diagnostic criteria makes it difficult to establish the dia...
Comparison of Quality of Life, Depression and Self-Esteem in Patients of Vitiligo and Melasma
Background: Skin is an important interface of a human being with the world. Pigmentary disorders have psychological impact as well as impact on well-being and body image. The quality of life is affected adversely in both...