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FOAMfrat Podcast

Oct 10, 2019

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