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Anaphylactic shock after sugammadex administration, induced by formation of a sugammadex-rocuronium complex -a case
Gunn Hee Kim1, Won Seop Choi1, Ji Eun Kim1
1Department of Anesthesiology and Pain Medicine, National Medical Center, Seoul, Korea.
Background:
Sugammadex is a reversal agent for non-depolarizing neuromuscular blockers and widely used worldwide on account of its rapid and effective reversal from neuromuscular blockade, despite its advantages, multiple cases of sugammadex-induced anaphylactic shock have been reported.
Case:
A 42-year-old man developed anaphylactic shock in the postanesthesia care unit. Initially, sugammadex was suspected as the causative agent, but an intradermal skin test revealed negative results. A further skin test was performed with sugammadex-rocuronium complex that yielded positive results.
Conclusions:
Anesthesiologists and healthcare providers should be aware of the possibility of anaphylaxis from the sugammadex-rocuronium complex, as well as from sugammadex or rocuronium alone.
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