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Rocuronium-induced generalized spontaneous movements cause pulmonary aspiration
Jiin-Tarng Lui1, Shin-Jen Huang, Ching-Yue Yang
1Department of Anesthesia, Chang Gung Memorial Hospital, Taipei, ROC.
Chang Gung Medical Journal
|December 14, 2002
Summary
Rapid-sequence induction can cause gastric regurgitation and pulmonary aspiration if rocuronium injection causes patient movement. This case highlights the risk of aspiration following rocuronium-induced movements during anesthesia induction.
Area of Science:
- Anesthesiology
- Critical Care Medicine
Background:
- Rapid-sequence induction with cricoid pressure is standard for patients with full stomachs.
- Rocuronium is a common alternative to succinylcholine for anesthesia induction.
Observation:
- Rocuronium injection can cause arm pain and generalized movements, even after induction agents.
- Generalized movements may alter cricoid pressure, increasing intragastric pressure.
Findings:
- A case of gastric regurgitation and pulmonary aspiration occurred following rocuronium-induced movements in a pediatric patient.
- Unexpected patient movements during induction pose a risk for aspiration.
Implications:
- Anesthesiologists should be aware of the potential for rocuronium-induced movements to cause aspiration.
- Careful patient monitoring is crucial during rapid-sequence induction, especially with rocuronium.