@drzackmd: Succinylcholine vs. rocuronium: the paralytic debate every anesthesia provider has an opinion on. Speed vs. safety vs. reversibility. What’s your go-to? #Anesthesia #Pharmacology #RSI #MedEd #DrZackMD

Dr Zack, MD
Dr Zack, MD
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Region: US
Monday 22 June 2026 13:02:22 GMT
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mad_max1701
Max Shaughnessy :
From a pharmacy standpoint, rocuronium doesn’t last as long outside the fridge compared to succinylcholine. But from a pharmacological standpoint, roc is way better!
2026-06-23 23:20:06
26
shuaray0
ShuaRay :
I worked in an ED where 2 patients were paralyzed and no knew why until an almost third was and they found out the nurse was giving Roc instead of rocephin.
2026-06-22 13:19:28
233
trelaboon5
Trelaboon :
They’ve stopped using succinylcholine so often because it’s 2026 now and people suck before they date all the time these days.
2026-06-22 19:29:22
3
lolly__9876
Jenifer 🤫 :
I’m a RT & have experienced a pt given succs but no propofol or any other sedation...my biggest fear now🙈 great content tho!
2026-06-24 13:51:26
1
ashley00915
ashleyy🥀 :
In my cvicu we never ever give succs
2026-06-22 16:33:44
6
pineappleslushy1212
pineappleslushy1212 :
My unit almost always uses Rocceronium. We carry Succs in our RSI, but I’ve never seen it used.
2026-06-22 21:04:54
7
vince.livecchi8
Vince Livecchi :
What about MH risk factor?
2026-06-22 13:33:20
5
_ms.penelope_
Penelope :
Malignant Hyperthermia is also a side effect of Succinylcholine
2026-06-24 13:12:16
1
bikinis.bottom
Stona Lisa :
Roc>>>>succ
2026-06-22 17:16:10
10
therealpiperpug
PIPERthePUG :
Succ gal here
2026-06-24 18:13:10
1
crybabyhaleyy
haley :
malignant hyperthermia risk with succs
2026-06-25 04:29:13
2
criticalcarernfriend
CriticalCareRN Friend :
Acidosis state avoid succs due to hyperkalemia- sucKs. Acidosis leads to hyperkalemia
2026-06-25 04:13:38
1
your_catness
YourCatness :
The captions are hilarious!!
2026-06-22 13:25:19
23
robinontiktok64
StrokeGirl🫀🧠🥴 :
I'm an RT in Arizona.🫁🌵 we say rock-CURE-onium. is this a regional pronunciation? (I love your info but saying rock-ER-onium is like fingernails on an intubation chalkboard 🥴😱😁)
2026-06-22 16:21:47
14
d347l466
user5533849794467 :
Please make more vids like this :)
2026-06-24 19:42:32
2
janekotecki
Bel dottore :
Depolarizing versus nondepolarizing agents
2026-06-23 03:20:03
3
leslie.mt
Leslie | PharmD | Beauty✨ :
I’ve noticed a lot of ER docs like roc and it confused me until I realized it was because it was so easy to dose that they preferred it😂 I like succs for fast on, fast off but man the contraindications are hard to get over since we typically don’t have that info in emergencies
2026-06-22 18:58:37
5
tmisner_
Trinity.matteaaaa :
I can appreciate succinylcholine for anticipated difficult airways out in the field, assuming no contraindications. After airway is secured, roc all the way! -a rural paramedic 😆
2026-06-22 17:56:14
8
johnsykesrn
Dr. John Sykes, PhD, RN :
I used Succ for 2 yrs in one flight program. The next 2 years I used Roc in another. I never really ever worried about the duration of Roc simply because of the King LT. We also trained with the bougie for primary use, which really maximized our first attempt pass rates.
2026-06-25 14:17:24
1
buhaypinoyamerika
Mango NPinoy :
Have you had to deal with MH d/t sux? What was it like? Thank goodness we’ve got ryanodex now.
2026-06-23 03:28:48
3
mcmmedic
Matthew C. Wcisel :
Sucs=sucks! Roc=rocks
2026-06-23 22:12:07
1
joshhill066
Josh Hill :
Rural EMS here. Gimme that Vec! Lol
2026-06-23 00:04:35
1
westlax34
westlax34 :
I think ROC is used more now because it gives you time after intubation to set up the vent, get scans done, and do CVC/art lines.
2026-06-23 02:37:13
1
aryanneupane57
Potatowedgewithranch17 :
Your captions though 😂😂
2026-08-14 03:36:51
0
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