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Introduction Neuromuscular blocking (NMB) drugs are used routinely in anaesthesia to facilitate tracheal intubation, but adverse effects may preclude their use in some patients. Succinylcholine is a depolarising NMB drug that can cause life-threatening metabolic and cardiovascular effects in patients with neuromuscular disorders, previous stroke, susceptibility to malignant hyperthermia and kidney disease [1].
Highlights • Adoption of IGABT significantly improved patient outcome, quality of treatment and reduced treatment related toxicity, as compared with CBT. • Interstitial needles along with intrauterine tube/vaginal rings allowed better optimisation of the brachytherapy plan and escalation of HR CTV dose. • We should be actively encouraging women to stop smoking and involving smoking cessation services in treatment pathway.
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