A pre-hospital team is managing a patient who has a known allergy to suxamethonium. RSI is required for a severe head injury. What alternative neuromu...

Question

A pre-hospital team is managing a patient who has a known allergy to suxamethonium. RSI is required for a severe head injury. What alternative neuromuscular blocking agent should be used?

Accepted Answer

Rocuronium 1.2 mg/kg IV - this provides rapid-onset neuromuscular blockade similar to suxamethonium and can be reversed with sugammadex

Answer

Vecuronium 0.1 mg/kg IV - this has the fastest onset of all non-depolarising agents

Answer

No neuromuscular blockade should be used - proceed with intubation under sedation alone

Answer

Atracurium 0.5 mg/kg IV - this has a similar onset time to suxamethonium

Answer

Pancuronium 0.1 mg/kg IV - this is the standard alternative

uk-dipimc MCQ (SBA): Rocuronium as Suxamethonium Alternative

A pre-hospital team is managing a patient who has a known allergy to suxamethonium. RSI is required for a severe head injury. What alternative neuromuscular blocking agent should be used?