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Respiration And The Airway:
M. I. El-Orbany, N. J. Joseph, and M. R. Salem
Tracheal intubating conditions and apnoea time after small-dose succinylcholine are not modified by the choice of induction agent
Br. J. Anaesth. 2005; 95: 710-714 [Abstract] [Full text] [PDF]
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[Read E-letter] Tracheal intubating conditions and apnoea time after small-dose succinylcholine are not modified by
Jameel Ahmed Khan   (9 November 2005)

Tracheal intubating conditions and apnoea time after small-dose succinylcholine are not modified by 9 November 2005
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Jameel Ahmed Khan,
Senior House Officer
Russells Hall Hospital, Dudley, UK

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Re: Tracheal intubating conditions and apnoea time after small-dose succinylcholine are not modified by

Editor - I read with interest the article by Orbany et al wherein they have studied the tracheal intubating conditions and apnoea time after small-dose succinylcholine compared with different induction agents.

As they have rightly commented that the dose of succinylcholine used for intubation is usually much higher than what they have used, the concept of small-dose succinylcholine may not be ideal in some clinical situations. And the effect of different induction agents in potentiating neuromuscular blockade may also be different (1).

The authors have commented in the results that none of the patients required an extra dose of succinylcholine but in fact they excluded any patient requiring an extra dose of succinylcholine from their study.

This study,which is very interesting may be applicable to patients for elective surgery but should not be generalised for emergencies requiring rapid sequence intubation.

References: 1) Hovorka J, Honkavaara P, Korttila K. Tracheal intubation after induction of anaesthesia with thiopentone or propofol without muscle relaxants. Acta Anaesthesiol Scand 1991; 35:26-8

Conflict of Interest:

None declared