Adjunct to general anaesth to facilitate tracheal intubation during routine sequence induction & to provide skeletal muscle relaxation during surgery in adults & neonates to adolescents (0 to <18 yr). Adjunct in ICU to facilitate intubation & mechanical ventilation; facilitate tracheal intubation during rapid sequence induction in adults.
Mandatory ventilatory support for patients until adequate spontaneous respiration is restored. Extubate only after the patient has recovered sufficiently from neuromuscular block. Cross-sensitivity to neuromuscular blockers. Prolonged paralysis &/or skeletal muscle weakness in long term use. Monitor neuromuscular transmission throughout the use. Myopathy in combination w/ corticosteroid after long term administration. Delay administration until patient is clinically recovered from neuromuscular block induced by suxamethonium. Pregnancy & lactation. Elderly (>65 yr).
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