Maternal respiratory distress and successful reversal with sugammadex during intrauterine transfusion with fetal paralysis.

Abstract:

:A 70 kg, 34-year-old woman at 29 weeks-of-gestation required intrauterine transfusion for Rh (D) alloimmunization. In the ambulatory treatment clinic, 19 mg of rocuronium was administered intramuscularly in split doses into the fetal buttock. The fetus moved and inadvertent maternal neuromuscular blockade occurred, leading to respiratory distress. The patient was transferred to the operating room where she had poor muscle tone, dyspnea and dysphonia. Sugammadex 100 mg was administered intravenously and complete resolution of neuromuscular blockade was demonstrated using a Neuromuscular Transmission™ monitor. When neuromuscular blocking agents are administered in ambulatory settings, management protocols, reversal agents, and skilled assistance should be immediately available for managing potentially life-threatening complications.

journal_name

Int J Obstet Anesth

authors

Munro A,McKeen D,Coolen J

doi

10.1016/j.ijoa.2019.01.002

subject

Has Abstract

pub_date

2019-08-01 00:00:00

pages

129-131

eissn

0959-289X

issn

1532-3374

pii

S0959-289X(18)30529-6

journal_volume

39

pub_type

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