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Ann Fr Anesth Reanim · Feb 2012
Case Reports[Rapid sequence induction in a patient with Steinert myotonic dystrophy: Interest of the association of high doses of rocuronium and sugammadex].
- L Pellegrini, M-F Mercier, A Cornese, V Blasco, and J Albanèse.
- Service d'anesthésie réanimation, hôpital de Timone, CHU Timone, AP-HM, 264, rue Saint-Pierre, 13385 Marseille, France. lionel.pellegrini@ap-hm.fr
- Ann Fr Anesth Reanim. 2012 Feb 1;31(2):155-7.
AbstractWe report in this clinical case the successful use of a combination of rocuronium and sugammadex in a patient with Steinert myotonic dystrophy to perform a rapid sequence induction of anaesthesia. The patient had both contraindication to succinylcholine and a risk of prolonged neuromuscular blockade with non-depolarizing neuromuscular blocking agents. The use of high dose rocuronium (1mg/kg) allowed a quick and easy orotracheal intubation but induced a prolonged neuromuscular block, reversed with success by sugammadex (8 mg/kg).Copyright © 2011 Société française d'anesthésie et de réanimation (Sfar). Published by Elsevier SAS. All rights reserved.
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