Comparative evaluation of the effects of succinylcholine and rocuronium bromide in intraocular pressure

Journal Title: International Archives of Integrated Medicine - Year 2017, Vol 4, Issue 6

Abstract

Background: Succinylcholine remain unsurpassed in providing ideal intubating conditions in the shortest time among all available neuromuscular blocking agents hence is advocated as the drug of choice for rapid sequence endotracheal intubation. Aim: Study compared the effects of succinylcholine and rocuronium bromide on intraocular pressure. Materials and methods: Study was done in 30 samples of ASA physical status 1 and 2 were selected through simple random sampling technique. All patients were scheduled for elective non-opthalmologic surgery for which general endotracheal anesthesia at various intervals at various intervals intraocular pressure changes, pulse rate, systolic and diastolic blood pressure were recorded at each of the above periods. Results: Intraocular pressure was elevated after giving succinylcholine high above the baseline values while in rocuronium group the intraocular pressure reduced below the baseline values. Though in both the groups IOP rose after intubation and decreased after three and five minutes after intubation, in group S it remained above the baseline after five minutes where as in group R it remained below the baseline value. Increasing after intubation nearing baseline value after five minutes after intubation. Conclusion: To conclude rocuronium in a dose of 0.9 mg/kg provides good to excellent intubating conditions comparable to that succinylcholine. It is a suitable agent for tracheal intubation in patients undergoing elective and emergency ophthalmic surgery where raise in intraocular pressure is undesirable.

Authors and Affiliations

Anupama Priyadarshini N

Keywords

Related Articles

Intertrochanteric and subtrochanteric fractures outcome on surgery

Background: Intertrochanteric and subtrochanteric fractures are leading cause of hospital admissions in elderly people. Aim: This study was done to analyze the surgical management of proximal third fractures of femur us...

Role of Glycemic control and Lipid profile in management of Diabetic complications

Background: Diabetes mellitus is one of the most common endocrine disorders affecting about 6% of the world’s population. Diabetes mellitus is the leading cause of end stage renal disease (ESRD), a major cause of non-tra...

A study of prevalence of microalbuminuria in non-diabetic non-hypertensive coronary artery disease

Background: Microalbuminuria is a marker of widespread vascular damage in diabetic as well as non-diabetic patients. However, more and more evidence is accumulating that microalbuminuria is an important cardiovascular ri...

Undergraduate medical students’ feedback and perceptions on teaching learning methodology in Pathology at Government Medical College

Introduction: For medical students, second year is crucial, as they enter the clinical postings for the first time and are taught about the pathogenesis of disease, which will enable the students understand medicine with...

Role of M.D.C.T in Blunt Trauma Abdomen

The challenge in the imaging of abdominal trauma is to accurately identify injuries that require early exploration and at the same time avoid unnecessary operative intervention in cases that can be managed conservatively...

Download PDF file
  • EP ID EP408570
  • DOI -
  • Views 154
  • Downloads 0

How To Cite

Anupama Priyadarshini N (2017). Comparative evaluation of the effects of succinylcholine and rocuronium bromide in intraocular pressure. International Archives of Integrated Medicine, 4(6), 13-19. https://www.europub.co.uk/articles/-A-408570