AccScience Publishing / IMO / Online First / DOI: 10.36922/imo.3196
ORIGINAL RESEARCH ARTICLE

Comparison of rocuronium and succinylcholine: Onset of action, ease of intubation, and hemodynamic parameters during general anesthesia

Hanan Shakeel1,2 Aditya Sharma1 Vikrant Abbot3*
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1 Department of Anaesthesiology, Maharishi Markandeshwar Deemed to be University, Mullana, Ambala, Haryana, India
2 Department of Anesthesia and Operation Theatre Technology, Faculty of Pharmaceutical and Allied Sciences, Saraswati Group of Colleges, Gharuan, Mohali, Punjab, India
3 Department of Pharmacy, Chandigarh Pharmacy College, Chandigarh Group of Colleges, Jhanjeri, Mohali, Punjab, India
IMO 2024, 1(1), 107–114; https://doi.org/10.36922/imo.3196
Submitted: 18 March 2024 | Accepted: 16 May 2024 | Published: 2 July 2024
© 2024 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution -Noncommercial 4.0 International License (CC-by the license) ( https://creativecommons.org/licenses/by-nc/4.0/ )
Abstract

This prospective, single-blind, randomized study aims to assess the hemodynamic parameters, onset time, and ease of intubation using succinylcholine and rocuronium during general anesthesia. Before induction, patients received premedication with appropriate doses of anticholinergic drugs, anxiolytics, and antiemetics. Anesthesia induction involved 1% propofol at 2 mg/kg. Each group consisted of 50 randomly assigned patients. Succinylcholine and rocuronium were administered intravenously (1.2 mg/kg dose each) to Group 1 and Group 2, respectively. Intubation was carried out after 60 s, and the intubating conditions were evaluated. The onset times were noted, and heart rate (HR), oxygen saturation (SpO2), and systolic and diastolic blood pressure (SBP and DBP) readings were recorded every 1, 3, and 5 min using multimodality monitors. While 49 patients in Group 2 experienced good intubating conditions, all patients in Group 1 met clinically acceptable intubating parameters. The onset of drug action in Group 1 was 56.42 ± 1.14 s, and in Group 2, it was 56.36 ± 1.08 s. After 1 min of intubation, there was a discernible increase in HR, SBP, DBP, and mean arterial pressure in both groups. Furthermore, these changes were hemodynamically comparable between the two drugs. The study findings suggest that intubation using succinylcholine and rocuronium can be achieved within 60 s with a bolus dose of 1.2 mg/kg under good to outstanding conditions. Succinylcholine provided better intubating conditions compared to rocuronium, although rocuronium may be considered where succinylcholine use is contraindicated.

Graphical abstract
Keywords
Anesthesia
Succinylcholine
Rocuronium
Intubating conditions
Neuromuscular blockers
Funding
None.
Conflict of interest
The authors declare no conflicts of interest.
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