Rocuronium versus succinylcholine for rapid sequence intubation in patients with bowel obstruction
Introduction. e aim of the study was to determine intubation conditions in the patients receiving rocuronium in comparison to succinylcholine for rapid sequence intubation during the induction of anesthesia for operative management of bowel obstruction. Methods. In the randomized controlled study 30 adult patients with bowel obstruction undergoing urgent surgery were randomly allocated in two groups. For muscle relaxation the S-group of patients received succinylcholine (1.5 mg/kg) and the
... p rocuronium (1.2 mg/kg). Intubation conditions were evaluated using a grading system according to Viby-Morgenson. Primary outcomes were intubation conditions 1 minute a er the application of a muscle relaxant. Secondary outcome measures were heart rate, blood pressure, and pulse oximetry; potassium and myoglobin serum level. Results. All patients were orotracheally intubated in the rst attempt. During induction, we didn't observe vomiting or aspiration. Overall intubation conditions in the S-group were statistically signi cantly better than in the R-group. A er RSI there was a statistically signi cant decrease in systolic and diastolic blood pressure in both groups and statistically signi cant decrease in heart rate in the S-group. A er RSI the potassium level in the S-group was signi cantly higher in comparison to the R-group and serum myoglobin level nonsigni cantly increased in the S-group and statistically signi cantly decreased in the R-group. Conclusion. e results show that rocuro-nium in RSI patients with bowel obstruction enables the same intubation conditions as succinylcholine and the same risk of aspiration which allows succinylcholine replacement and avoidance of its side effects.