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An Observational Study on Effects of Rocuronium Bromide during Tracheal Intubation among Elective Caesarean Section Patients

Sushil Vishnu Boraste, Assistant Professor, Department of Anaesthesiology, SMBT Institute of Medical Sciences and Research Centre, Dhamangoan, Nashik, Maharashtra 422403, India. , Nitin Dagdu Waghchoure1 , Sushil Vishnu Boraste2

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Indian Journal of Anesthesia and Analgesia 5(4):p 669-675, April 2018. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.5418.25

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Abstract

Background: Aspiration of gastric content, during induction and intubation is a major risk factor which determines the outcome of anaesthesia. As all the patients undergoing caesarean section are considered full of stomach due to delayed gastric emptying, rapid intubation is mandatory in them. The ideal muscle relaxant is the one who produces faster onset of action; resultant in to reduction in the incidence of side effects. The aim of this study was to determine the effects of rocuronium during tracheal intubation on patients who were scheduled for elective caesarean section.

Material and Methods: Total 90 ASA grade I and II near term patients who were to undergo elective caesarean section were included. Selected patients were randomly divided in to 3 groups consisting 30 patients in each. Group I (S60) patients received suxamethonium 1.5 mg/kg with intubation attempted at 60 seconds and patients of groups II (R60) and III (R90) received rocuronium 0.6 mg.kg with intubation attempted at 60 seconds and rocuronium 0.6 mg.kg with intubation attempted at 90 seconds respectively.

Results: The intubating conditions were acceptable in all the patients belonging to group I (S60) and group III (R90), while 04 patients in group II (R60) had unacceptable intubating conditions. Rocuronium found haemodynamically stable as suxamethonium.

Conclusion: Rocuronium provides acceptable intubating conditions in patients undergoing elective caesarean section with no incidence of side effects or complications.

 

 

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.5418.25

Keywords

Rocuronium; Suxamethonium; Caesarean Section; Intubating Conditions. 

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