Outpatient Surgery Magazine - Subscribers

Clear Cut - July 2015 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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1 2 3 J U LY 2 0 1 5 | O U T P AT I E N T S U R G E R Y M A G A Z I N E O N L I N E choline. Whether succinylcholine could have saved Ms. Rivers is up for debate, since many of the circumstances surrounding her demise are still shrouded in mystery. But there's no question that a medica- tion that has traditionally been given little consideration in the endoscopy setting is suddenly garnering much more attention. For many anesthesia providers. succinylcholine is the first choice for breaking a laryngospasm. Others, however, advocate rocuronium. Which is the better choice? Incidentally, laryngospasm can often be "broken" by using positive pressure ventilation with an Ambu bag, but let's focus on situations in which medication intervention is necessary. I polled many anesthesia providers to get their thoughts on which agent should be added to the endoscopy formulary. Both have advo- cates, but by a slight edge, the majority said they find rocuronium ade- quate as a muscle relaxant for any adverse airway event. OSM Mr. Ruspantine (perryr@anesprof.com) is clinical compliance manager for Anesthesia Professionals, Inc., in Dartmouth, Mass.

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