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

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.

• Authors: P Guerci, F Vial, J Raft, C Meistelman, H Bouaziz
• Journal: Annales francaises d'anesthesie et de reanimation (Ann Fr Anesth Reanim) 2012 Jul-Aug Vol. 31 Issue 7-8 Pg. 632-4 ISSN: 1769-6623 [Electronic] France
• Vernacular Title: Bloc résiduel prolongé après injection unique de rocuronium pour l'intubation : une étiologie originale.
• PMID: 22763308 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2012. Published by Elsevier SAS.

Chemical References

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

Topics

• Androstanols (administration & dosage, 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, etiology, surgery)
• Middle Aged
• Neostigmine (therapeutic use)
• Neuromuscular Blockade (adverse effects)
• Neuromuscular Monitoring (instrumentation)
• Neuromuscular Nondepolarizing Agents (administration & dosage, adverse effects)
• Pancreas Transplantation
• Paralysis (chemically induced, diagnosis, drug therapy)
• Postoperative Complications (chemically induced, diagnosis, drug therapy)
• Renal Dialysis (methods)
• Rocuronium
• Ulnar Nerve (physiopathology)