The use of 3 sugammadex out of 5 reversal of during recovery of rocuronium-induced neuromuscular blockade in a patient with post-tonsillectomy hemorrhage: A case reportopen access
- Authors
- Lee, Hee-Jong; Kim, Kyo Sang; Kim, Tae Yeon; Lee, Jeoung Hyuk; Jeong, Miae
- Issue Date
- Jul-2014
- Publisher
- Korean Society of Anesthesiologists
- Keywords
- Postoperative hemorrhage; Rocuronium; Sugammadex; Tonsillectomy
- Citation
- Korean Journal of Anesthesiology, v.67, no.1, pp.43 - 47
- Indexed
- SCOPUS
KCI
- Journal Title
- Korean Journal of Anesthesiology
- Volume
- 67
- Number
- 1
- Start Page
- 43
- End Page
- 47
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/159552
- DOI
- 10.4097/kjae.2014.67.1.43
- ISSN
- 2005-6419
- Abstract
- Post-tonsillectomy hemorrhage (PTH) is the most frequent complication of tonsillectomy, and occasionally results in a lethal outcome. A 21-year-old man (height 180 cm, weight 95 kg) was scheduled for a bilateral tonsillectomy and uvulopalatopharyngoplasty for treatment of obstructive sleep apnea. He required 5 rounds of general anesthesia due to recurrent PTH. The anesthesiologist used sugammadex a total of 3 times to achieve the successful reversal of the deep neuromuscular blockade (NMB) induced by rocuronium. After sugammadex 2 mg/kg was administered, the NMB was reversed in 2 minutes each time. Re-administration of rocuronium within a short time interval after sugammadex may result in unpredictable effects of neuromuscular blocking agents. Sugammadex made it possible to perform a rapid, complete reverse when the residual block was maintained by an incomplete reversal of anticholinesterase.
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