Podcast 85 - Thoughts On Roc Dosing #TwoVariables
A few days ago\xa0I put up a thought\xa0experiment blog on generalizing the dose of\xa0rocuronium to 100 mg for anyone\xa0over\xa0the age of 18, and 200 mg if they are in a low flow state. You can find that post here. \xa0 Here are my thoughts:\xa0 \xa0 1. Based off height not weight.\xa0 \xa0 2. Some the dosing range of Roc is very wide 0.9 to 2 mg/kg\xa0100 would give 1.2 mg/kg for any male\xa0 up to 6ft 2inches and 2mg/kg for some a male at 5 ft. Both of these are within acceptable dosing recommendations. \xa0 3. The argument of commonplace and laziness I can sympathize with- yet I don\u2019t 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\u2019t matter. \xa0 4.Shock dosed higher? Yes I say double it.\xa0 \xa0 5.We will lose our math skills- this is the caveman fire argument that we saw with direct vs video laryngoscopy. Psh
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