Comparison Between Intubating and Recovery Characteristics of Succinylcholine, Rocuronium and Atracurium in Parturients Undergoing Cesarean Sections

Abstract

Woman undergone general anesthesia for caesarean section, need a rapid sequence induction to protect against pulmonary aspiration. Succinylcholine is the most commonly used muscle relaxant due to its fast onset and short duration but it has many serious complications. Rocuronium a new muscle relaxant with a brief onset of action, but devoid of the succinylcholine adverse effects may be a suitable alternative to it and to test this hypothesis, the intubating and recovery characteristic of succinyl choline ,recuronium and atracurium were compared. This study was conducted on 60 parturients delivered by elective cesarean section . Aged 18 to 37 years and physical status ASA I and II . They were divided into 3 groups: group I was given 0.6 mg.kg-1 rocuronium (n = 20), group II was given 0.5 mg.kg-1 atracurium (n = 20) and group III was given 1 mg.kg-1 succinylcholine (n = 20). The intubation conditions were assessed. heart rate and mean arterial blood pressure were monitored before induction of general anesthesia after induction of general anesthesia and then at 1, 3, 5, 10, 15 and 20 minutes after muscle relaxant