Sugammadex and renal failure: a case report

We report a case of delayed rocuronium-induced deep block antagonization with sugammadex, thus requiring a total of three injections and a cumulative dose of 12 mg/kg over a 30 min period. The patient was an emergency case with full stomach that had required a rapid sequence induction. Because of hy...

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Bibliographic Details
Published in:Annales françaises d'anesthésie et de réanimation 2011-10, Vol.30 (10), p.743-745
Main Authors: Briere, M, Boisson, C, Cuvillon, P, Debaene, B, Ripart, J
Format: Article
Language:fre
Subjects:
Acute Kidney Injury - etiology
Aged
Androstanols - antagonists & inhibitors
Anesthesia, General
Emergency Medical Services
Female
gamma-Cyclodextrins - adverse effects
Hemodynamics - physiology
Humans
Hydronephrosis - etiology
Hyperkalemia - etiology
Kidney Neoplasms - secondary
Kidney Neoplasms - surgery
Neuromuscular Nondepolarizing Agents - antagonists & inhibitors
Uterine Cervical Neoplasms - pathology
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Summary:We report a case of delayed rocuronium-induced deep block antagonization with sugammadex, thus requiring a total of three injections and a cumulative dose of 12 mg/kg over a 30 min period. The patient was an emergency case with full stomach that had required a rapid sequence induction. Because of hyperkaliemia due to an acute renal failure, rocuronium was preferred to succinylcholine. Use of sugammadex in the acute renal failure context is discussed.
ISSN:1769-6623
DOI:10.1016/j.annfar.2011.02.010