Rocuronium vs suxamethonium for rapid sequence induction

Suxamethonium has traditionally been the muscle relaxant of choice when performing rapid sequence induction for endotracheal intubation. Rocuronium is gaining in popularity as an alternative, in part because of increasing familiarity with sugammadex, which can reverse profound rocuroniuminduced neuromuscular blockade. This article discusses the arguments for and against the use of suxamethonium and rocuronium for rapid sequence induction.