Paralytics
                              ==========
þ Sedative/Paralytic Comparison Table
  <ParaTabl.TXT>

þ Succinyl Choline (Anectine)
 - usual dose 100 mg   <SUX.TXT>
 - OK to use in burns or major trauma up to about 7 days after trauma
 - OK for head injury or penetrating eye injury

þ vecuronium (Norcuron)
 - Dose: 7 mg
   0.1-0.2 mg/kg (0.2 for infants)
 - Ready to intubate in 4 minutes
   (0.01-0.02 for defasciculating dose)

þ pancuronium (Pavulon)
 - Dose:  0.1-0.2 mg/kg

þ rocuronium (Zemuron)
 - 70 mg
  + 0.6-1.2 mg/kg
  + 2 minute onset
 - preferred by pediatricians, as will not cause prolonged paralysis as will
   depolarizing blickers such as succinyl choline in cases of undiscovered
   muscular dystrophy.

þ Raplon (rapacuronium)
 - 1.5 mg/kg
 - 60 seconds, 80% of people ready for intubation
 - can reverse with neostigmine in 2 minutes
 - lasts 15-20 minutes
 - acceptable rate of side effects
 - ? replacement for succinyl choline
 - has to be mixed but doesn't need refrigeration, ? ideal RSI drug for
   prehospital
 - acceptable cost
 - lots of histamine release and bronchospasm, withdrawn from market in early
   2001

þ Medicolegal Notes from Ron Walls:
 - Baumgarten Anaesthesiology 1989 70 says must use neuromuscular
   blockers for intubation.