![]() Zoremba N, Schälte G, Bruells C, Pühringer FK. Neuromuscular blocking drugs and their antagonists in patients with organ disease. Modified rapid sequence induction and intubation: a survey of United States current practice. Which is the original and which is the modified rapid sequence induction and intubation? Let history be judge! Anesth Analg 2013 116: 264-265.Ĩ.Ğhrenfeld JM, Cassedy EA, Forbes VE, Mercaldo ND, Sandberg WS. Salem MR, Clark-Wronski J, Khorasani A, Crystal GJ. Cont Edu Anaesth Crit Care and Pain 2014 14:ħ. Rapid sequence induction: its place in modern anaesthesia. Protocol for rapid sequence intubation in pediatric patients – a four year study. Marvez-Valls E, Houry D, Ernst AA, Weiss SJ, Killen J. Rapid sequence intubation: a review of recent evidences. Certan and controversial components in rapid sequence induction.Anaesthesist 2018 Epub ahead of print.ģ. The results show that rocuronium in RSI patients with bowel obstruc-tion enables the same intubation condi-tions as succinylcholine and the same risk of aspiration which allows succinylcholine replacement and avoidance of its side ef-fects.ġ. After RSI the potassium level in the S-group was significantly higher in comparison to the R-group and serum myoglobin level non-significantly increased in the S-group and statistically significantly decreased in the R-group.Ĭonclusion. After RSI there was a statistically significant decrease in systolic and diastolic blood pressure in both groups and statistically significant decrease in heart rate in the S-group. Overall intubation conditions in the S-group were statistically significantly better than in the R-group. During in-duction, we didn’t observe vomiting or as-piration. All patients were orotracheally intubated in the first attempt. Secondary outcome measures were heart rate, blood pressure, and pulse oximetry potassium and myo-globin serum level. Primary outcomes were intubation con-ditions 1 minute after the application of a muscle relaxant. Intubation conditions were evaluated using a grad-ing system according to Viby-Morgenson. For muscle relaxation the S-group of patients received succinylcholine (1.5 mg/kg) and the R-group rocuronium (1.2 mg/kg). In the randomized controlled study 30 adult patients with bowel obstruc-tion undergoing urgent surgery were ran-domly allocated in two groups. The aim of the study was to determine intubation conditions in the patients receiving rocuronium in compari-son to succinylcholine for rapid sequence intubation during the induction of anes-thesia for operative management of bowel obstruction.
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