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Rocuronium is often used for rapid sequence intubation (RSI) when succinylcholine is contraindicated, but clinicians are reluctant to use rocuronium for all patients who require RSI because its duration of action greatly exceeds that of succinylcholine. Sugammadex has been shown to rapidly reverse rocuronium block (JW Emerg Med Aug 8 2008). Researchers compared time to recovery of neuromuscular function in healthy elective anesthesia patients who were randomized to receive either rocuronium (1.2 mg/kg) followed by sugammadex (16.0 mg/kg) 3 minutes later or succinylcholine (1.0 mg/kg) alone. (Sugammadex was administered 3 minutes after rocuronium to mimic the time required for 2 attempts at intubation to fail, which is the point at which we …