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Case Reports
Sugammadex to reverse neuromuscular blockade and provide optimal conditions for motor-evoked potential monitoring.
- Mehdi Trifa, Senthil Krishna, Ajay D'Mello, Mumin Hakim, and Joseph Drew Tobias.
- Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Columbus, Ohio, USA.
- Saudi J Anaesth. 2017 Apr 1; 11 (2): 219-221.
AbstractSugammadex is a novel pharmacologic agent, which reverses neuromuscular blockade (NMB) via a mechanism that differs completely from acetylcholinesterase inhibitors. By encapsulating rocuronium, sugammadex can provide recovery of neuromuscular function even when there is a profound degree of NMB. We report anecdotal experience with the use of sugammadex to reverse NMB to facilitate intraoperative neurophysiological monitoring (motor evoked potentials) in an adolescent with scoliosis during posterior spinal fusion. Its potential application in this unique clinical scenario is discussed, and potential dosing schemes are reviewed.
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