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Published on: June 25, 2013
Postoperative Recurarization in a Pediatric Patient After Sugammadex Reversal of Rocuronium-Induced Neuromuscular
Dominic S Carollo1, William M White
1From the Department of Anesthesiology, Division of Pediatric Cardiac Anesthesiology, Ochsner Clinic, New Orleans, Louisiana.
Abstract:
We present a case of a pediatric patient who developed recurarization after a cardiac catheterization procedure. Intraoperative neuromuscular blockade was achieved with 2 doses of rocuronium, and the blockade was reversed with a bolus dose of sugammadex at the end of the procedure. While recovering in the pediatric cardiac intensive care unit, the patient developed respiratory failure and a decline in the train-of-four response. The patient fully recovered after receiving a second dose of sugammadex.
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