[Sugammadex and renal failure: a case report]

Ann Fr Anesth Reanim. 2011 Oct;30(10):743-5. doi: 10.1016/j.annfar.2011.02.010. Epub 2011 Jun 29.
[Article in French]

Abstract

We report a case of delayed rocuronium-induced deep block antagonization with sugammadex, thus requiring a total of three injections and a cumulative dose of 12 mg/kg over a 30 min period. The patient was an emergency case with full stomach that had required a rapid sequence induction. Because of hyperkaliemia due to an acute renal failure, rocuronium was preferred to succinylcholine. Use of sugammadex in the acute renal failure context is discussed.

Publication types

  • Case Reports

MeSH terms

  • Acute Kidney Injury / etiology*
  • Aged
  • Androstanols / antagonists & inhibitors
  • Anesthesia, General
  • Emergency Medical Services
  • Female
  • Hemodynamics / physiology
  • Humans
  • Hydronephrosis / etiology
  • Hyperkalemia / etiology
  • Kidney Neoplasms / secondary
  • Kidney Neoplasms / surgery
  • Neuromuscular Nondepolarizing Agents / antagonists & inhibitors
  • Rocuronium
  • Sugammadex
  • Uterine Cervical Neoplasms / pathology
  • gamma-Cyclodextrins / adverse effects*

Substances

  • Androstanols
  • Neuromuscular Nondepolarizing Agents
  • gamma-Cyclodextrins
  • Sugammadex
  • Rocuronium