Successful use of rocuronium and sugammadex in an anticipated difficult airway scenario.

Abstract:

:Neuromuscular blocking agents are often avoided in anticipated difficult airway scenarios. However to facilitate jet ventilation, muscle relaxants are useful. We report a case of a potentially threatened airway in a 21-year-old with a large infraglottic pedunculated polyp. In this case rocuronium was used on induction to facilitate subsequent jet ventilation and periglottic laser ablation of the tumour As the duration of the surgery was not predictable, the intention was to use sugammadex at the end to ensure complete reversal of muscle relaxation. This strategy also provided a quick rescue option if there was a sudden loss of the airway.

journal_name

Anaesth Intensive Care

authors

McTernan CN,Rapeport DA,Ledowski T

doi

10.1177/0310057X1003800226

subject

Has Abstract

pub_date

2010-03-01 00:00:00

pages

390-2

issue

2

eissn

0310-057X

issn

1448-0271

pii

20090651

journal_volume

38

pub_type

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