Comparison of intubating conditions after administration of Org 9246 (rocuronium) and suxamethonium

Br J Anaesth. 1992 Sep;69(3):269-73. doi: 10.1093/bja/69.3.269.

Abstract

We have assessed intubating conditions after administration of Org 9426 (rocuronium) 600 micrograms kg-1 at 60 or 90 s in groups of 20 patients anaesthetized with thiopentone, nitrous oxide in oxygen and small doses of fentanyl, and compared the data with those obtained after suxamethonium 1 mg kg-1 in similar groups of patients. The influence of prior suxamethonium administration on the potency of Org 9426 was studied also by constructing a dose-response curve. Intubating conditions after Org 9426 were found to be clinically acceptable (good or excellent) in 95% of patients at 60 s and in all patients at 90 s and in all patients at both times after suxamethonium. The average time for the onset of block following Org 9426 at this dose was 89 s (which is shorter than with any of the currently available non-depolarizing neuromuscular blocking drugs); the duration of clinical relaxation (25% recovery of twitch height) 30 min. Prior administration of suxamethonium did not appear to influence the potency of Org 9426.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Androstanols / pharmacology*
  • Anesthesia
  • Dose-Response Relationship, Drug
  • Humans
  • Intubation, Intratracheal*
  • Middle Aged
  • Muscle Relaxation / drug effects
  • Neuromuscular Blocking Agents / pharmacology*
  • Rocuronium
  • Succinylcholine / pharmacology*
  • Time Factors

Substances

  • Androstanols
  • Neuromuscular Blocking Agents
  • Succinylcholine
  • Rocuronium