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Case Report
Online Published: 03 Nov 2015
 
RMJ. 2015; 40(4): 486-488


Sugammadex reversal of rocuronium-induced neuromuscular block in a patient with ataxia-telangiectasia

Eunsu Kang, Jae-wook Jung.


Abstract
A 17-year-old adolescent with ataxia-telangiectasia was scheduled to have laparoscopic colectomy for a resection of colon cancer. He had symptoms and signs of dyspnea, generalized dystonia, dysmetria, ataxia, and telangiectasia on the orbit. General anesthesia was performed, and rocuronium 30 mg was administered for muscle relaxation. Deep neuromuscular block (post-tetanic count: 0-8) was maintained for 95 minutes without additional rocuronium. On completion of surgery, sugammadex 80 mg was injected and train-of-four ratio was 0.93 at 210 seconds after administration. The tracheal tube was removed 5 min after the end of surgery. He recovered full spontaneous respiration and voluntary movements within 1 minute after extubation. After the surgery, he transferred to the intensive care unit and discharged 14 days after the surgery without any concrete problem. The reversal of rocuronium induced neuromuscular block by sugammadex was fast, complete, and recovered to the initial preoperative level of neuromuscular function in this patient.

Key words: Ataxia-telangiectasia, Rocuronium, Sugammadex.


 
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How to Cite this Article
Pubmed Style

Kang E, Jung J. Sugammadex reversal of rocuronium-induced neuromuscular block in a patient with ataxia-telangiectasia. RMJ. 2015; 40(4): 486-488.

Web Style

Kang E, Jung J. Sugammadex reversal of rocuronium-induced neuromuscular block in a patient with ataxia-telangiectasia. https://www.rmj.org.pk/?mno=191675 [Access: October 31, 2025].

AMA (American Medical Association) Style

Kang E, Jung J. Sugammadex reversal of rocuronium-induced neuromuscular block in a patient with ataxia-telangiectasia. RMJ. 2015; 40(4): 486-488.


Vancouver/ICMJE Style

Kang E, Jung J. Sugammadex reversal of rocuronium-induced neuromuscular block in a patient with ataxia-telangiectasia. RMJ. (2015), [cited October 31, 2025]; 40(4): 486-488.


Harvard Style

Kang, E. & Jung, . J. (2015) Sugammadex reversal of rocuronium-induced neuromuscular block in a patient with ataxia-telangiectasia. RMJ, 40 (4), 486-488.


Turabian Style

Kang, Eunsu, and Jae-wook Jung. 2015. Sugammadex reversal of rocuronium-induced neuromuscular block in a patient with ataxia-telangiectasia. Rawal Medical Journal, 40 (4), 486-488.


Chicago Style

Kang, Eunsu, and Jae-wook Jung. "Sugammadex reversal of rocuronium-induced neuromuscular block in a patient with ataxia-telangiectasia." Rawal Medical Journal 40 (2015), 486-488.


MLA (The Modern Language Association) Style

Kang, Eunsu, and Jae-wook Jung. "Sugammadex reversal of rocuronium-induced neuromuscular block in a patient with ataxia-telangiectasia." Rawal Medical Journal 40.4 (2015), 486-488. Print.


APA (American Psychological Association) Style

Kang, E. & Jung, . J. (2015) Sugammadex reversal of rocuronium-induced neuromuscular block in a patient with ataxia-telangiectasia. Rawal Medical Journal, 40 (4), 486-488.


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