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

Summary of Paralytic Agents for RSI
Drug | Dose | Onset | Duration | Pearls |
---|---|---|---|---|
Succinylcholine | 1.5 mg/kg IV; 3-4 mg/ kg IM (maximum 150 mg | 10-45 seconds | 4-10 minutes | Malignant hyperthermia Hyperkalemia Patients at risk for hyperkalemia |
Rocuronium | 1-1.2 mg/kg IV | 45-60 seconds | 30-90 minutes | Inability to mask ventilate |
Vecuronium | 0.1-0.2 mg/kg IV | 2-4 minutes | 20-60 minutes | Potential prolonged intubation |