'Jaws of steel' after rocuronium

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Postoperative reparalysis after rocuronium following nebulized epinephrine.

PURPOSE We report a case of postoperative reparalysis in the recovery room, following nebulized epinephrine. The patient was pharmacologically reversed with edrophonium after paralysis with rocuronium. CLINICAL FINDINGS A 12-yr-old girl developed postoperative reparalysis following the intraoperative administration of rocuronium. A total of 0.92 mg.kg-1 rocuronium was administered. After surg...

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Prolonged residual paralysis after a single intubating dose of rocuronium.

It is often argued that neuromuscular monitoring is unnecessary when only one dose of an intermediate-acting neuromuscular blocking agent is given. This case report documents that it may take more than 3.5 h before it is possible to antagonize a block caused by a normal dose of rocuronium (0.6 mg kg(-1)). Possible causes of the extremely prolonged duration of action are discussed, as is the imp...

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ژورنال

عنوان ژورنال: Indian Journal of Anaesthesia

سال: 2016

ISSN: 0019-5049

DOI: 10.4103/0019-5049.176275