Adverse Effects of Sugammadex on the Cardiovascular System.

Autor: Kadiyala M; Anesthesiology and Reanimation, University of Massachusetts Memorial Medical Center, Worchester, USA., Gedulig T; Anesthesiology, University of Connecticut, Bloomfield, USA., Banik RK; Anesthesiology, University of Minnesota, Minneapolis, USA.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2023 Feb 07; Vol. 15 (2), pp. e34728. Date of Electronic Publication: 2023 Feb 07 (Print Publication: 2023).
DOI: 10.7759/cureus.34728
Abstrakt: Perioperative anaphylaxis is rare but potentially life-threatening. Although the most common causative agents are muscle relaxants and antibiotics, there have been several case reports of sugammadex-induced anaphylactic reactions. Though most cases of perioperative anaphylaxis present after induction, sugammadex anaphylaxis presents at the end of the case, sometimes in unmonitored situations such as after extubation or during transport to the recovery unit. Here we report a case of suspected sugammadex-induced anaphylaxis that led to cardiac arrest. We emphasize that vigilance is required when a high dose of sugammadex is used for the reversal of neuromuscular blockade.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2023, Kadiyala et al.)
Databáze: MEDLINE