Latex allergy — further comment

Abstract

Critical hemoglobin desaturation will occur before return to an unparalyzed state following 1 mg/kg intravenous succinyl choline. Anesthesiology 1997; 87: 979-82. 4 Thwaites AJ, Rice CP, Smith I. Rapid sequence induction: a questionnaire survey of its routine conduct and continued management during a failed intubation. Anaesthesia 1999; 54: 376-81. 5 McCourt KC, Salmela L, Mirakhur RK, et al. Comparison of rocuronium and suxamethonium for use during rapid sequence induction of anaesthesia. Anaesthesia 1998; 53: 867-71. 6 Andrews JL, Kumar N, van den Brom RHG, Olkkola KT, Roest GJ, Wright PMC. A large simple randomized trial of rocuronium versus succinyl choline in rapidsequence induction of anaesthesia along with propofol. Acta Anaesthesiologica Scandinavica 1999; 43: 4-8. A reply Our objection to rocuronium for rapid sequence induction (RSI) is its prolonged duration of paralysis. The papers quoted by Dr Levy have shown that rocuronium provides intubating conditions similar to suxamethonium 1.0 mg.kg À1. The doses compared were 0.6 or 1.0 mg.kg À1 rocuronium and suxamethonium 1.0 mg.kg À1 [1, 2]. The relatively rapid recovery of