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10.1002/anr3.12060

http://scihub22266oqcxt.onion/10.1002/anr3.12060
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33251512!7678888!33251512
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suck abstract from ncbi


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pmid33251512      Anaesth+Rep 2020 ; 8 (2): 98-100
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  • Rocuronium priming for tracheal intubation in COVID-19 patients #MMPMID33251512
  • Hoshijima H; Nagasaka H; Ozaki M; Komiyama K; Mieda T; Nakamura C; Doi K
  • Anaesth Rep 2020[Jul]; 8 (2): 98-100 PMID33251512show ga
  • Priming doses of non-depolarising neuromuscular blocking drugs given before administration of anaesthetic agents have been used to hasten the onset of neuromuscular blockade. In the settings of coronavirus disease 2019 (COVID-19), this could be used to reduce the apnoeic, and potentially aerosol-generating, window. To our knowledge, we report the first cases of tracheal intubation with rocuronium for COVID-19 using the priming principle. Both patients needed their tracheas intubated for severe hypoxia using a rapid sequence induction technique with a priming dose of rocuronium. Despite adequate pre-oxygenation a sudden, unexpected fall in arterial oxygen saturations was observed in both patients after administration of a priming dose of 2 mg of rocuronium. Clinicians should consider this possible risk associated with priming doses of neuromuscular blocking drugs in the management of patients with respiratory failure due to COVID-19.
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