This supply
disruption alert update supersedes the update (SDA/2020/004(R)) issued on 16th
April 2020.
The supply position
on rocuronium has now substantially improved. Therefore, Trusts can now use
rocuronium as a first-choice neuromuscular blocking agent (NMBA) in all
scenarios as they choose, unless there is a contraindication.
This alert
contains further information and advice on the management of affected patients.
Given the links
to covid-19 we have sent this alert to a broader mailing list than would
usually receive a Supply Disruption Alert of this type.
Please note
that no response is required via the CAS website to this alert.