rocuronium and Abdominal-Pain

Topics: Abdominal Pain; Adolescent; Anaphylaxis; Anesthesia, Dental; Drug Hypersensitivity; Ephedrine; Epinephrine; Female; Humans; Molar, Third; Pain, Postoperative; Postoperative Period; Rocuronium; Severity of Illness Index; Sugammadex; Tooth Extraction

In patients with neuromuscular diseases, the use of rocuronium in the general anesthesia rapid sequence induction provides safety intubation conditions, but induces a deep and prolonged neuromuscular blockade. We report dose reduction to 0.8mg/kg for a 47-year-old female with Landouzy-Dejerine myopathy. Therefore, less dose of sugammadex was given to reverse the neuromuscular block.

Topics: Abdomen; Abdominal Pain; Androstanols; Emergency Medical Services; Female; gamma-Cyclodextrins; Humans; Intestines; Laparotomy; Middle Aged; Muscular Dystrophy, Facioscapulohumeral; Nerve Block; Neuromuscular Nondepolarizing Agents; Peritonitis; Rocuronium; Sugammadex

Bilateral sixth nerve palsy is a known though uncommon complication following dural puncture. The recommended treatment consists of hydration and alternate monocular occlusion. The value and the timing of an epidural blood patch (EBP) for sixth nerve palsy remains controversial as some authors have demonstrated benefits in performing an EBP early in course of the nerve palsy whereas others have not found any advantage when an EBP was performed later.. A 40-yr-old woman developed bilateral sixth nerve palsy ten days after an unintentional dural puncture. An EBP was done within 24 hr after the onset of the symptoms and immediate improvement of the diplopia was noted by the patient and confirmed by an ophthalmologist. Complete resolution of the diplopia occurred 36 days after the dural puncture.. Blood patching within 24 hr of the onset of diplopia may be a reasonable treatment for ocular nerve palsy as it relieved the postdural puncture headache and produced partial improvement of the diplopia.

Topics: Abdominal Pain; Abducens Nerve Diseases; Adult; Androstanols; Anesthesia, Epidural; Anesthesia, General; Anesthetics, Intravenous; Anesthetics, Local; Blood Patch, Epidural; Bupivacaine; Diplopia; Dura Mater; Female; Fentanyl; Headache; Humans; Medical Errors; Neuromuscular Nondepolarizing Agents; Postoperative Complications; Propofol; Rocuronium; Urinary Bladder, Neurogenic

Topics: Abdominal Pain; Adolescent; Anaphylaxis; Androstanols; Antibodies; Bronchial Spasm; Chymases; Drug Hypersensitivity; Edema; Female; Follow-Up Studies; Humans; Immunoglobulin E; Inflammation Mediators; Laparoscopy; Neuromuscular Blockade; Neuromuscular Nondepolarizing Agents; Rocuronium; Serine Endopeptidases; Skin Tests; Tryptases; Urticaria