[Prolonged residual paralysis after a single intubating dose of rocuronium: an unexpected cause]

Ann Fr Anesth Reanim. 2012 Jul-Aug;31(7-8):632-4. doi: 10.1016/j.annfar.2012.02.019. Epub 2012 Jul 3.
[Article in French]

Abstract

Postoperative curarization following a single dose of rocuronium is a known risk quickly diagnosed through the monitoring of neuromuscular blockade. Different etiologies can cause a prolonged block. We report the case of a misdiagnosis of prolonged neuromuscular blockade by a failure in the monitoring system of curarization.

Publication types

  • Case Reports

MeSH terms

  • Androstanols / administration & dosage
  • Androstanols / adverse effects*
  • Anticoagulants / adverse effects
  • Arteriovenous Shunt, Surgical*
  • Artifacts*
  • Atropine / therapeutic use
  • Delayed Diagnosis*
  • Diabetic Neuropathies / physiopathology*
  • Diagnostic Errors*
  • Dilatation and Curettage*
  • Female
  • Humans
  • Kidney Transplantation
  • Metrorrhagia / chemically induced
  • Metrorrhagia / etiology
  • Metrorrhagia / surgery*
  • Middle Aged
  • Neostigmine / therapeutic use
  • Neuromuscular Blockade / adverse effects*
  • Neuromuscular Monitoring / instrumentation*
  • Neuromuscular Nondepolarizing Agents / administration & dosage
  • Neuromuscular Nondepolarizing Agents / adverse effects*
  • Pancreas Transplantation
  • Paralysis / chemically induced*
  • Paralysis / diagnosis
  • Paralysis / drug therapy
  • Postoperative Complications / chemically induced*
  • Postoperative Complications / diagnosis
  • Postoperative Complications / drug therapy
  • Renal Dialysis / methods
  • Rocuronium
  • Ulnar Nerve / physiopathology

Substances

  • Androstanols
  • Anticoagulants
  • Neuromuscular Nondepolarizing Agents
  • Neostigmine
  • Atropine
  • Rocuronium