Rapid sequence induction and intubation with 1 mg/kg rocuronium bromide in cesarean section, comparison with suxamethonium.
OBJECTIVE
To demonstrate that Rocuronium Bromide can be used for rapid sequence induction in emergency conditions.


METHODS
Our study was performed between December 2005 and May 2006 in Jordan University Hospital, Jordan. We studied the efficacy and intubating conditions after administrating of Rocuronium Bromide 1 mg/kg at 60 second in group of 60 pregnant women undergoing elective or emergency cesarean section and compared the results with those obtained after giving Suxamethonium 1 mg/kg at 60 seconds in a group of patients similar to the Rocuronium group.


RESULTS
Intubating conditions after 1 mg /kg of Rocuronium Bromide were found to be acceptable (good and excellent) in 95% of patients and were similar to the Suxamethonium group (97%). The endotracheal tube could be passed through the vocal cards of all patients enrolled in the study.


CONCLUSIONS
Rocuronium Bromide 1 mg/kg can be safely used for rapid sequence induction in cesarean section and the intubating conditions are similar to those of Suxamethonium.
Abu-Halaweh
Sami A
SA
Department of General Surgery, Anesthesia and Intensive Care, College of Medicine, University of Jordan, PO Box 13046, Amman 11942, Jordan. sami_halaweh@yahoo.com
Massad
Islam M
IM
Abu-Ali
Hamdi M
HM
Badran
Izdiad Z
IZ
Barazangi
Bassam A
BA
Ramsay
Michael A
MA
D000328:Adult; D000732:Androstanols / Q000008:administration & dosage*; D000773:Anesthesia, Obstetrical / Q000379:methods*; D018686:Anesthetics, Intravenous / Q000008:administration & dosage; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal; D003473:Neuromuscular Nondepolarizing Agents / Q000008:administration & dosage*; D011247:Pregnancy; D000077123:Rocuronium; D013390:Succinylcholine; D013874:Thiopental / Q000008:administration & dosage
D000732:Androstanols; D018686:Anesthetics, Intravenous; D003473:Neuromuscular Nondepolarizing Agents; D013390:Succinylcholine; D013874:Thiopental; D000077123:Rocuronium