Emergency Department Intubation Success With Succinylcholine Versus Rocuronium: A National Emergency Airway Registry Study

Annals of Emergency Medicine
Michael D AprilNEAR Investigators

Abstract

Although both succinylcholine and rocuronium are used to facilitate emergency department (ED) rapid sequence intubation, the difference in intubation success rate between them is unknown. We compare first-pass intubation success between ED rapid sequence intubation facilitated by succinylcholine versus rocuronium. We analyzed prospectively collected data from the National Emergency Airway Registry, a multicenter registry collecting data on all intubations performed in 22 EDs. We included intubations of patients older than 14 years who received succinylcholine or rocuronium during 2016. We compared the first-pass intubation success between patients receiving succinylcholine and those receiving rocuronium. We also compared the incidence of adverse events (cardiac arrest, dental trauma, direct airway injury, dysrhythmias, epistaxis, esophageal intubation, hypotension, hypoxia, iatrogenic bleeding, laryngoscope failure, laryngospasm, lip laceration, main-stem bronchus intubation, malignant hyperthermia, medication error, pharyngeal laceration, pneumothorax, endotracheal tube cuff failure, and vomiting). We conducted subgroup analyses stratified by paralytic weight-based dose. There were 2,275 rapid sequence intubations facilitated ...Continue Reading

Citations

Jun 11, 2020·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Brian E DriverCalvin A Brown
Jun 28, 2020·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Michael D AprilUNKNOWN NEAR Investigators
Jul 1, 2020·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Nicholas M MohrCalvin A Brown
Aug 17, 2019·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Abdullah Bakhsh
Oct 9, 2019·Acute Medicine & Surgery·Tadahiro GotoKohei Hasegawa
Jan 18, 2021·Annals of Emergency Medicine·Michael Gottlieb, Jestin N Carlson
Oct 17, 2020·Pharmacogenomics and Personalized Medicine·Guang-Dan ZhuAndria L Del Tredici
Feb 25, 2021·Annals of the Academy of Medicine, Singapore·Gene Wai Han ChanCalvin A Brown III
Feb 24, 2021·Annals of Emergency Medicine·Barret ZimmermanNicholas Musisca
Dec 15, 2020·The Journal of Emergency Medicine·Brian E DriverCalvin A Brown
Feb 10, 2021·International Anesthesiology Clinics·Jack Louro, Albert J Varon
May 7, 2021·The American Journal of Hospice & Palliative Care·Antonio Gabriel De Leon Corona, Jessica Chin
Jun 2, 2021·The American Journal of Emergency Medicine·Maria C KaislerCalvin A Brown
Jun 22, 2021·Anesthesia and Analgesia·Kunal KaramchandaniSheila N Myatra
Jul 16, 2021·Trauma Surgery & Acute Care Open·Jason Randall WestJames T Russell
May 20, 2020·British Journal of Anaesthesia·Theodor S SigurdssonKristinn Sigvaldason
Jan 11, 2022·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Jeffrey L JarvisRitu Sahni

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