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Rocuronium for Treatment of Sugammadex Anaphylaxis: A Case Report
Logan H Cone1, Lauren M Walden1, Neal W Fleming1
1Department of Anesthesiology & Pain Medicine, School of Medicine, University of California, Davis, PSSB Suite 1200 4150 V St., Sacramento, 95817, California, USA, ucdavis.edu.
Abstract:
Anaphylaxis presents as a complex and unpredictable intraoperative emergency. Rocuronium is among the most common triggering agents for intraoperative anaphylaxis. Sugammadex has been suggested as a therapeutic option for the treatment of anaphylaxis triggered by rocuronium. With increased use, the incidence of anaphylaxis triggered by sugammadex may approach that of rocuronium. We present a case suggesting the converse might also be efficacious. In a critically ill patient with refractory anaphylaxis apparently triggered by sugammadex, administration of rocuronium rapidly restored hemodynamic stability.
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