Where a ‘can't intubate, can't ventilate’ event occurs:
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Where a ‘can't intubate, can't ventilate’ event does not occur and the subsequent procedure is very short:
succinylcholine (1 mg kg−1)-induced neuromuscular block (for rapid induction and to maintain block throughout the procedure) followed by spontaneous recovery
rocuronium (1.2 mg kg−1)-induced neuromuscular block (for rapid induction and to maintain block throughout the procedure) followed by reversal using sugammadex 4 mg kg−1
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Where a ‘can't intubate, can't ventilate’ event does not occur and the subsequent procedure is short (<60 min) or requires profound block throughout:
succinylcholine (1 mg kg−1)-induced neuromuscular block (for rapid induction) followed by rocuronium (0.6 mg kg−1)-induced neuromuscular block (to maintain block throughout the procedure) followed by reversal using neostigmine (2.5 mg) with glycopyrrolate (0.5 mg)
rocuronium (1.2 mg kg−1)-induced neuromuscular block (for rapid induction and to maintain block throughout the procedure) followed by reversal using sugammadex 4 mg kg−1
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Where a ‘can't intubate, can't ventilate’ event does not occur and the subsequent procedure is long (>60 min) and does not require profound block throughout:
succinylcholine (1 mg kg−1)-induced neuromuscular block (for rapid induction) followed by rocuronium (0.6 mg kg−1)-induced neuromuscular block (to maintain block throughout the procedure) followed by reversal using neostigmine (2.5 mg) with glycopyrrolate (0.5 mg)
rocuronium (1.2 mg kg−1)-induced neuromuscular block (for rapid induction and to maintain block throughout the procedure) followed by reversal using sugammadex 2 mg kg−1
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