Rapid arousal from anaesthesia after reversal of deep rocuronium-induced neuromuscular block with sugammadex in a neuroradiological procedure

BMJ Case Rep. 2021 Aug 20;14(8):e242820. doi: 10.1136/bcr-2021-242820.

Abstract

We describe the case of a 42-year-old man undergoing elective embolisation of an arteriovenous malformation at the level of the right posterior cerebral artery under propofol anaesthesia. We used the SedLine Brain Function Monitor (Masimo) to titrate the anaesthetic depth with propofol. At the end of the procedure, the patient aroused from anaesthesia very rapidly after the reversal of deep neuromuscular block with sugammadex, despite still significant calculated doses of propofol at the effect site. This rapid arousal was monitored using the SedLine Brain Function Monitor.

Keywords: anaesthesia; drugs and medicines; healthcare improvement and patient safety; medical management; neuroanaesthesia.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Androstanols
  • Anesthesia, General
  • Arousal
  • Humans
  • Male
  • Neuromuscular Blockade*
  • Neuromuscular Nondepolarizing Agents*
  • Rocuronium
  • Sugammadex
  • gamma-Cyclodextrins*

Substances

  • Androstanols
  • Neuromuscular Nondepolarizing Agents
  • gamma-Cyclodextrins
  • Sugammadex
  • Rocuronium