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Sux Shortage

EM Clinicians:

There is a manufacturer-side succinylcholine shortage and, for the indefinite future, when you call for succinylcholine, it may not be there.

The alternative agent for paralysis in RSI is rocuronium, which is dosed at 1.2 mg/kg. The onset is 45-60 seconds, and the duration is much longer than succinylcholine; at this dose generally 45-75 minutes. There are no contraindications (other than the contraindications to RSI itself). At Sinai, rocuronium is kept in the med room refrigerator in both the adult and pediatric zones.

Let me know if you have any questions.


Written by reuben

September 8th, 2010 at 1:51 am

Posted in Airway,Pharmacy

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