Rocuronium Dose Calculator

Clinical context

Rocuronium is a nondepolarizing neuromuscular blocker used to facilitate routine or rapid-sequence tracheal intubation and to provide muscle relaxation. It causes paralysis without sedation, analgesia, or amnesia. Administer only to an adequately anesthetized or sedated patient with immediate ventilation and airway support. The calculator returns a user-selected IV dose. A dose of 0.6 mg/kg is commonly used for routine intubation; 1.2 mg/kg may be used for rapid-sequence intubation when appropriate. Onset and duration vary with dose, age, organ dysfunction, acid-base and electrolyte disturbance, and interacting anesthetics. Anaphylaxis can occur. Use quantitative neuromuscular monitoring to guide additional dosing and reversal. Select sugammadex or neostigmine according to measured block depth, contraindications, and local protocol, and confirm a train-of-four ratio of at least 0.9 before extubation.