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A while ago I said I’d write a thread on why I attempt to avoid the use of muscle relaxants and that routine use is largely dogmatic.

Here’s why I don’t think there should even be a third pillar of anaesthesia…

(Hopefully this doesn’t upset #anaesthesiatwitter too much!!)
Disclaimer:
I’m not a total zealot about this and regarding difficult airways etc relaxants are vital to safe management.
What follows should be contextualised for routine airway management in relatively experienced hands.
I also always keep some red stuff nearby just in case!
This thread only pertains to NDMR’s.
Sux really is a horribly dirty drug and with the advent of sugammadex should be consigning itself to to the realm of licking brightly coloured 🐸 in terms of western practice.
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