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Case Reports
. 2012 Feb;31(2):155-7.
doi: 10.1016/j.annfar.2011.10.031. Epub 2011 Dec 6.

[Rapid sequence induction in a patient with Steinert myotonic dystrophy: Interest of the association of high doses of rocuronium and sugammadex]

[Article in French]
L Pellegrini  1 , M-F Mercier, A Cornese, V Blasco, J Albanèse
Affiliations
Case Reports

[Rapid sequence induction in a patient with Steinert myotonic dystrophy: Interest of the association of high doses of rocuronium and sugammadex]

[Article in French]
L Pellegrini et al. Ann Fr Anesth Reanim. 2012 Feb.

Abstract

We report in this clinical case the successful use of a combination of rocuronium and sugammadex in a patient with Steinert myotonic dystrophy to perform a rapid sequence induction of anaesthesia. The patient had both contraindication to succinylcholine and a risk of prolonged neuromuscular blockade with non-depolarizing neuromuscular blocking agents. The use of high dose rocuronium (1mg/kg) allowed a quick and easy orotracheal intubation but induced a prolonged neuromuscular block, reversed with success by sugammadex (8 mg/kg).

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Comment in

  • [Suxamethonium and myotonic dystrophy type 1].
    Nivoche Y, Bruneau B, Dahmani S. Nivoche Y, et al. Ann Fr Anesth Reanim. 2012 Jun;31(6):571. doi: 10.1016/j.annfar.2012.03.012. Epub 2012 Jun 5. Ann Fr Anesth Reanim. 2012. PMID: 22677059 French. No abstract available.

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