A few days ago I put up a thought experiment blog on
generalizing the dose of rocuronium to 100 mg for
anyone over the age of 18, and 200 mg if they are in a
low flow state. You can find that post here.
Here are my thoughts:
1. Based off height not weight.
2. Some the dosing range of Roc is very wide 0.9 to 2
mg/kg 100 would give 1.2 mg/kg for any male up to 6ft
2inches and 2mg/kg for some a male at 5 ft. Both of these are
within acceptable dosing recommendations.
3. The argument of commonplace and laziness I can sympathize
with- yet I don’t buy it. If anyone has ever watched an
anesthesiologist dose medications it is anything but a perfect
science. Why? Knowing how the drugs work opens up some freedom. Not
recommending free lance dosing-but in some situations we are being
pedantic over things that don’t matter.
4.Shock dosed higher? Yes I say double it.
5.We will lose our math skills- this is the caveman fire
argument that we saw with direct vs video laryngoscopy. Psh
About the Podcast
Prehospital emergency and critical care podcast by Tyler Christifulli & Sam Ireland