ID 80843
Author
Sakai, Yoko Department of Anesthesiology, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Tsutsumi, Yasuo M. Department of Anesthesiology, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Wakamatsu, Narutomo Department of Anesthesiology, Institute of Health Biosciences, the University of Tokushima Graduate School KAKEN Search Researchers
Soga, Tomohiro Department of Anesthesiology, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Tanaka, Katsuya Department of Anesthesiology, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Oshita, Shuzo Department of Anesthesiology, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Keywords
sugammadex
rocuronium
reoperation
Content Type
Journal Article
Description
We present a case where immediatemuscle relaxation was needed following
sugammadex administration. A 72 year-old female underwent surgery for a cerebral artery
aneurysm. Upon conclusion of the operation sugammadex (9.3 mg/kg) was administered
and the patient was noted to have left hemiplegia. Rocuronium (1.2 mg/kg 2 doses)
was given in order to gain neuromuscular block approximately 25 minutes after sugammadex
had been injected. Although TOF monitoring was not utilized in this case and assessing
residual muscular block was difficult, spontaneous respirations continued and
breathing had to be controlled with sevoflurane and remifentanil. Sugammadex is a
potent reversal agent for rocuronium-induced neuromuscular block, however, certain
situations require immediate neuromuscular blockade following sugammadex. In this case,
rocuronium was unable to induce neuromuscular blockade immediately after sugammadex
and that higher concentrations were necessary in addition to intravenous analgesics
and inhaled anesthetics.
Journal Title
The journal of medical investigation : JMI
ISSN
13431420
NCID
AA11166929
Volume
58
Issue
1-2
Start Page
163
End Page
165
Sort Key
163
Published Date
2011-02
Remark
The journal of medical investigation : http://medical.med.tokushima-u.ac.jp/jmi/index.html
EDB ID
FullText File
language
eng
departments
University Hospital
Medical Sciences