title: [Rocuronium vs atracurium vs suxamethonium for double-lumen endobronchial tube intubation].
abstract: BACKGROUND
  Intubation with a double lumen tube requires excellent and stable relaxation, necessary for accurate positioning of the device using a fibre optic scope.
  
  
  METHODS
  We have compared conditions for endobronchial intubation after administration of 1 mg kg(-1) rocuronium (group E), 0.1 mg kg(-1) cis-atracurium (group N) and 1.5 mg kg(-1) suxamethonium (group P) in 70 randomly allocated adult patients, scheduled for elective lung surgery. Conditions for intubation were assessed using Mallampati, Cromack-Lehan and Krieg scores.
  
  
  RESULTS
  The duration and conditions for intubation, and the onset of relaxation were comparable in all groups. Patients paralysed with suxamethonium required more frequent repositioning of double lumen tubes, compared to those paralysed with rocuronium and cis-atracurium.
  
  
  CONCLUSIONS
  Although all drugs given in equipotent doses proved to be suitable for the planned procedure, we conclude that suxamethonium could easily be abandoned in routine anaesthesia for elective lung surgery.
authors.affiliation: Zakład Anestezjologii Klinicznej Slaskiego UM w Katowicach. katanestz@sum.edu.pl
authors.forename: Hanna
authors.initials: H
authors.lastname: Misiołek
authors.forename: Marek
authors.initials: M
authors.lastname: Tombarkiewicz
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Zajaczkowska-Druzba
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Rutkowska
mesh_terms: D000732:Androstanols / Q000008:administration & dosage*; D001279:Atracurium / Q000008:administration & dosage*; D004357:Drug Synergism; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000379:methods; D008171:Lung Diseases / Q000601:surgery; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D003473:Neuromuscular Nondepolarizing Agents / Q000008:administration & dosage; D011292:Premedication; D011446:Prospective Studies; D000077123:Rocuronium; D013390:Succinylcholine
chemical_list: D000732:Androstanols; D003473:Neuromuscular Nondepolarizing Agents; D001279:Atracurium; D013390:Succinylcholine; D000077123:Rocuronium