{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T00:47:51Z","timestamp":1773190071504,"version":"3.50.1"},"reference-count":37,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,2,5]],"date-time":"2025-02-05T00:00:00Z","timestamp":1738713600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Anaesthesiol Scand"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>During rapid sequence induction, either rocuronium 1.0\u2009mg\u2009kg<jats:sup>\u22121<\/jats:sup> or suxamethonium 1.0\u2009mg\u2009kg<jats:sup>\u22121<\/jats:sup> can be administered to facilitate endotracheal intubation. We hypothezised that rocuronium provided a larger proportion of excellent intubating conditions compared to suxamethonium in elderly patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 90 patients 80\u2009years or above with American Society of Anesthesiologists physical health Classes I\u2013IV, and a body mass index\u2009&lt;\u200935\u2009kg\u2009m<jats:sup>\u22121\u22122<\/jats:sup> were randomised to either rocuronium 1.0\u2009mg\u2009kg<jats:sup>\u22121<\/jats:sup> or suxamethonium 1.0\u2009mg\u2009kg<jats:sup>\u22121<\/jats:sup> during rapid sequence induction with intubation using a video laryngoscope. After 60\u2009s, tracheal intubating conditions were evaluated using the Fuchs\u2010Buder scale by a blinded investigator, and the primary outcome was the proportion of patients with excellent intubating conditions. Further outcomes included first pass success rate, intubating conditions according to the intubating difficulty scale (IDS), onset time and postoperative occurrence of muscle soreness, hoarseness and sore throat.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All patients were evaluated for the primary outcome. Excellent intubating conditions occurred in 36 patients (73%) versus 31 (75%) in the rocuronium group and suxamethonium group, respectively (95% confidence interval [CI]: \u221216 to 20) (<jats:italic>p<\/jats:italic>\u2009=\u2009.82). The first pass success rate was 48 (98%) versus 40 (98%) comparing the rocuronium group with the suxamethonium group, respectively (<jats:italic>p<\/jats:italic>\u2009=\u2009.90). No difference in IDS score was found; median 0 (interquartile ranges [IQR]: 0\u20131) versus median 0 (IQR: 0\u20131) (<jats:italic>p<\/jats:italic>\u2009=\u2009.48). Onset time was significantly shorter in the suxamethonium group 99 versus 131\u2009s (<jats:italic>p<\/jats:italic>\u2009=\u2009.01) (95% CI: 7 to 57). Finally, no difference was found in the occurrence of muscle soreness, hoarseness or sore throat postoperatively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>No important difference in intubating conditions was found during rapid sequence induction after the administration of either rocuronium 1.0\u2009mg\u2009kg<jats:sup>\u22121<\/jats:sup> or suxamethonium 1.0\u2009mg\u2009kg<jats:sup>\u22121<\/jats:sup> in patients 80\u2009years or above.<\/jats:p><\/jats:sec><jats:sec><jats:title>Editorial Comment<\/jats:title><jats:p>This reports a superiority trial comparing standardised doses of rocuronium and suxamethonium at 60\u2009s for quality of intubating conditions in the rapid sequence context, and this in an elderly cohort. The findings showed no difference between the drugs concerning intubation outcomes, though the onset or time to peak effect was shorter for suxamethonium, again demonstrated in a cohort 80\u2009years old or older.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aas.14589","type":"journal-article","created":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T04:03:21Z","timestamp":1738814601000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Intubating conditions during rapid sequence induction with either rocuronium or suxamethonium in elderly patients. A randomised study"],"prefix":"10.1111","volume":"69","author":[{"given":"Matias","family":"Vested","sequence":"first","affiliation":[{"name":"Department of Anesthesia, Centre of Head and Orthopaedics, Rigshospitalet University of Copenhagen  Copenhagen Denmark"},{"name":"Department of Clinical Medicine University of Copenhagen  Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3954-8634","authenticated-orcid":false,"given":"Andreas","family":"Creutzburg","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Centre of Head and Orthopaedics, Rigshospitalet University of Copenhagen  Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian S.","family":"Meyhoff","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine University of Copenhagen  Copenhagen Denmark"},{"name":"Department of Anesthesia and Intensive Care Copenhagen University 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