Prolonged residual paralysis after a single intubating dose of rocuronium.

Claudius, C; Karacan, H; Viby-Mogensen, J · Br J Anaesth · 2007

case_report · Level V

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Abstract

It is often argued that neuromuscular monitoring is unnecessary when only one dose of an intermediate-acting neuromuscular blocking agent is given. This case report documents that it may take more than 3.5 h before it is possible to antagonize a block caused by a normal dose of rocuronium (0.6 mg kg(-1)). Possible causes of the extremely prolonged duration of action are discussed, as is the importance of quantitative neuromuscular monitoring.

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