REBEL Crit - January 09, 2020 - By Salim Rezaie
"Author Conclusion: “Among patients undergoing endotracheal intubation in an out-of-hospital emergency setting, rocuronium, compared with succinylcholine, failed to demonstrate noninferiority with regard to first-attempt intubation success rate.”
Clinical Take Home Point: I am not sure why this is still a debate. If dosed appropriately, and the patient is paralyzed, the agent used should have no effect on the success rate of intubation. There are, however, several untoward effects of succinylcholine (i.e. hyperkalemia, shorter safe apnea time, etc) that push me toward using rocuronium."