With all due deference, I don't quite follow the link between shortened
length of paralysis and ease of active airway management. If you paralyzed
a patient because 1) he needed to be intubated and 2) you wanted optimum
intubating conditions, how will it help you if he returns to his
unparalyzed, needing-intubation state? My failed-intubation algorithm
probably works better if the patient is still relaxed.
Will you really need PPV less? If the sux wears off, you have a patient who
is breathing badly enough to need intubation. Won't they get just as much
PPV as the one who is still paralyzed?
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