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Lesson 12 of15
In Progress

Summary of Paralytics for RSI

Jimmy September 8, 2021

The induction is for the patients but the paralytic is for the provider!

Summary of Paralytic Agents for RSI

DrugDoseOnsetDurationPearls
Succinylcholine1.5 mg/kg IV; 3-4 mg/
kg IM (maximum
150 mg
10-45 seconds
4-10 minutesMalignant
hyperthermia

Hyperkalemia

Patients at risk for
hyperkalemia
Rocuronium1-1.2 mg/kg IV
45-60 seconds 30-90 minutesInability to mask
ventilate

Vecuronium0.1-0.2 mg/kg IV
2-4 minutes 20-60 minutes Potential
prolonged
intubation

Summary of Paralytic Agents for RSI