Extravascular leakage of induction doses of rocuronium: four cases in which both depth of neuromuscular block and plasma concentration of rocuronium were assessed.

Shunichi Takagi, Miho Kijima, Hajime Iwasaki, Akira Doshu-Kajiura, Osamu Kitajima, Takahiro Suzuki

Journal of clinical monitoring and computing 2022 Apr

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The duration of action of extravasated rocuronium varies depending on the patient's comorbidities. In patients who receive high doses of non-depolarizing neuromuscular blocking agents subcutaneously, anesthesiologists should be aware of unexpected prolongation of the progress and recovery of neuromuscular block. In such cases, the depth and recovery of neuromuscular block should be objectively monitored to avoid residual neuromuscular block and recurarization. © 2021. The Author(s), under exclusive licence to Springer Nature B.V.

Citation

Shunichi Takagi, Miho Kijima, Hajime Iwasaki, Akira Doshu-Kajiura, Osamu Kitajima, Takahiro Suzuki. Extravascular leakage of induction doses of rocuronium: four cases in which both depth of neuromuscular block and plasma concentration of rocuronium were assessed. Journal of clinical monitoring and computing. 2022 Apr;36(2):587-592