Desaturation following rapid sequence induction using succinylcholine vs. rocuronium in overweight patients

Tang, Lijun; Li, S.; Huang, Shiyao; Ma, Huanggang; Wang, Z.

doi:10.1111/j.1399-6576.2010.02365.x

Cited by 57 publications

(31 citation statements)

References 23 publications

(30 reference statements)

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“…[41][42][43][44][45][46][47][48][49][50][51][52][53] As such, there is interest in limiting these risks by prolonging safe apnea time or avoiding intubation altogether. [54][55][56] Current studies have yielded mixed results. Several studies of NIPPV for hypoxemic respiratory failure in non-chronic obstructive pulmonary disease cohorts demonstrated decreased intubation rates or mortality rates, [19][20][21]34,36,57,58 whereas others reported no improvement in these parameters.…”

Section: Non-invasive Positive Pressure Ventilationmentioning

confidence: 91%

Ventilator Strategies and Rescue Therapies for Management of Acute Respiratory Failure in the Emergency Department

Mosier

Hypes

Joshi

et al. 2015

Annals of Emergency Medicine

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Section: Non-invasive Positive Pressure Ventilationmentioning

confidence: 91%

Ventilator Strategies and Rescue Therapies for Management of Acute Respiratory Failure in the Emergency Department

Mosier

Hypes

Joshi

et al. 2015

Annals of Emergency Medicine

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“…Although there is a presumption that its action will wear off to allow spontaneous ventilation in the event of failure to intubate, it has been shown that hypoxia occurs before recovery of neuromuscular activity [96,97]. A unique disadvantage is that suxamethonium increases oxygen consumption through its depolarising action, and hence may cause earlier desaturation than rocuronium [98].…”

Section: Rapid Sequence Inductionmentioning

confidence: 99%

Obstetric Anaesthetists’ Association and Difficult Airway Society Guidelines for the Management of Difficult and Failed Tracheal Intubation in Obstetrics

Mushambi¹,

Kinsella²,

Popat³

et al. 2016

Obstetric Anesthesia Digest

113

221

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SummaryThe Obstetric Anaesthetists' Association and Difficult Airway Society have developed the first national obstetric guidelines for the safe management of difficult and failed tracheal intubation during general anaesthesia. They comprise four algorithms and two tables. A master algorithm provides an overview. Algorithm 1 gives a framework on how to optimise a safe general anaesthetic technique in the obstetric patient, and emphasises: planning and multidisciplinary communication; how to prevent the rapid oxygen desaturation seen in pregnant women by advocating nasal oxygenation and mask ventilation immediately after induction; limiting intubation attempts to two; and consideration of early release of cricoid pressure if difficulties are encountered. Algorithm 2 summarises the management after declaring failed tracheal intubation with clear decision points, and encourages early insertion of a (preferably secondgeneration) supraglottic airway device if appropriate. Algorithm 3 covers the management of the 'can't intubate, can't oxygenate' situation and emergency front-of-neck airway access, including the necessity for timely perimortem caesarean section if maternal oxygenation cannot be achieved. Table 1 gives a structure for assessing the individual factors relevant in the decision to awaken or proceed should intubation fail, which include: urgency related to maternal or fetal factors; seniority of the anaesthetist; obesity of the patient; surgical complexity; aspiration risk; potential difficulty with provision of alternative anaesthesia; and post-induction airway device and airway patency. This decision should be considered by the team in advance of performing a general anaesthetic to make a provisional plan should failed intubation occur. The table is also intended to be used as a teaching tool to facilitate discussion and learning regarding the complex nature of decision-making when faced with a failed intubation. Table 2 gives practical considerations of how to awaken or proceed with surgery. The background paper covers recommendations on drugs, new equipment, teaching and training.

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“…Succinilcolina se ha usado clásicamente debido a su corta duración de acción, sin embargo, la hipoxia es muy probable que ocurra antes de que desaparezcan su efectos en un escenario de: No puedo intubar-No puedo ventilar. Sus propiedades depolarizantes también aumentan el consumo de oxígeno 15 . Con la disponibilidad de sugammadex, rocuronio en dosis de 1,2 mg/kg puede ser usado en inducción de secuencia rápi-da.…”

Section: Drogas De Inducción Y Bloqueadores Neuromuscularesunclassified

El Manejo de la Intubación traqueal difícil y/o fallida en anestesia obstétrica

Roshan¹,

Phillips²

2017

Rev Chil Anest

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Desaturation following rapid sequence induction using succinylcholine vs. rocuronium in overweight patients

Abstract: Succinylcholine was associated with a significantly more rapid desaturation and longer recovery of oxygen saturation than rocuronium during rapid sequence induction in overweight patients.

Cited by 57 publications

References 23 publications

Ventilator Strategies and Rescue Therapies for Management of Acute Respiratory Failure in the Emergency Department

Ventilator Strategies and Rescue Therapies for Management of Acute Respiratory Failure in the Emergency Department

Obstetric Anaesthetists’ Association and Difficult Airway Society Guidelines for the Management of Difficult and Failed Tracheal Intubation in Obstetrics

El Manejo de la Intubación traqueal difícil y/o fallida en anestesia obstétrica

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