Residual paralysis caused by 50 mg rocuronium after reversal with 4 mg/kg sugammadex: a case report
نویسندگان
چکیده
منابع مشابه
Effective Use of Sugammadex for Incomplete Pyridostigmine Reversal of Muscle Relaxation by Rocuronium: A Case Report
Anticholinesterase does not allow adequate reversal of the deep neuromuscular blockade (NMB) achieved using high doses of relaxants. A 71-year-old female patient (weight 70 kg, height 169 cm) was scheduled for a transurethral resection of a bladder tumor under general anesthesia. We administered rocuronium 30 mg (0.43 mg/kg) for tracheal intubation due to an estimated short surgical time. Durin...
متن کاملProlonged 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...
متن کاملCase of anaphylaxis induced by rocuronium treated with sugammadex.
BACKGROUND AND OBJECTIVES Anaphylaxis during anesthesia is a rare event that may occur in up to 1:20,000 cases and approximately 60% to 70% of these cases are secondary to the use of muscle relaxants, particularly succinylcholine and rocuronium. The aim of this report is to describe the treatment of a case of rocuronium-induced anaphylaxis with inadequate response to traditional therapy, and th...
متن کاملThe use of rocuronium 20 minutes after sugammadex administration – a case report
Sugammadex has proven to be highly effective for the reversal of moderate or deep neuro¬muscular blockade induced by rocuronium or vecuronium. We present a case where optimal conditions for tracheal intubation were attained using rocuronium (0.5 mg kg-1) 20 minutes (min) after sugammadex had been given. A 59-yr-old female patient, ASA II was scheduled for elective total thyroidectomy. Anesthesi...
متن کاملImprovement of suspected rocuronium-induced anaphylaxis after sugammadex administration: A case report
Although rare, anaphylactic and anaphylactoid reactions during anesthesia may result in fatal outcomes. A 26year-old male patient was scheduled to undergo septoplasty to correct a septal deviation. The patient’s preoperative medical history and laboratory findings revealed no specific abnormalities. Anesthesia was induced with propofol and rocuronium. Following the intravenous injection of addi...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: BMC Anesthesiology
سال: 2021
ISSN: 1471-2253
DOI: 10.1186/s12871-021-01379-6