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- Alison F Brown, Julien Cobert, James Dierkes, Catherine M Kuhn, and Stuart A Grant.
- From the Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina.
- A A Pract. 2019 Oct 15; 13 (8): 295-298.
AbstractA variety of factors are known to prolong neuromuscular blockade, including several medications commonly used in anesthetic practice. We present a patient who underwent general anesthesia using desflurane, vecuronium, and magnesium infusion with delayed neuromuscular blockade reversal after sugammadex administration. A higher than anticipated total dose of sugammadex was required for adequate reversal, and quantitative neuromuscular monitoring was essential to ensuring complete neuromuscular recovery before extubation in this case.
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