Author : Radhi Al-Rekaby, Mohammad
Basrah Journal of Surgery,
2015, Volume 21, Issue 2, Pages 55-60
This study aimed to verify that rocuronium can be used as an alternative to succinylcholine for rapid sequence intubation in emergency cesarean section. A study conducted on 300 ladies in Al-Basrah Maternity and Childbirth Hospital between February 2013 to November 2014. Assessment of the effectiveness of rocuronium 0.6 mg/kg with propofol as an intubating dose for emergency caesarean section. The intubation conditions of rocuronium was compared with succinylcholine 1mg/kg as standard muscle relaxant of choice.
Rocuronium 0.6 mg/kg with propofol resulted in 94% clinically acceptable (good to excellent) intubation conditions but for succinylcholine it was 95-97%.
In conclusion, although succinylcholine creates excellent intubation conditions in emergency caesarean section, rocuronium proved its efficacy as a good alternative choice for succinylcholine.