Rapid sequence induction in obstetrics revisited.

PURPOSE OF REVIEW: The regimen of thiopental, succinylcholine (SCh) and unsupplemented nitrous oxide/oxygen for Caesarean section was first introduced 50 years ago. This review examines which elements have endured, what has changed, and how practice might alter in the very near future. RECENT FINDINGS: Sugammadex, a cyclodextrin, is capable of rapid reversal of profound rocuronium neuromuscular blockade. SUMMARY: It is now feasible that SCh might be replaced with a high-dose rocuronium-sugammadex combination.