Brazilian Journal of Anesthesiology
http://www.rba.periodikos.com.br/article/doi/10.1016/j.bjane.2015.01.004
Brazilian Journal of Anesthesiology
Clinical Informations

Rocuronium and sugammadex in a 3 days old neonate for draining an ovarian cyst. Neuromuscular management and review of the literature

Rocurônio e sugamadex em recém-nascido de 3 dias para drenagem de um cisto ovariano. Controle neuromuscular e revisão da literatura

Ricardo Vieira Carlos; Marcelo Luis Abramides Torres; Hans D. de Boer

http://dx.doi.org/10.1016/j.bjane.2015.01.004 Braz J Anesthesiol, vol.66, n4, p.430-432, 2016
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Abstract

Abstract A case is reported in which a 3-days old neonate with a giant ovarian cyst was scheduled for surgery. The patient received a dose of sugammadex to reverse a rocuronium-induced neuromuscular block. A fast and efficient recovery from neuromuscular block was achieved within 90 s. No adverse events or other safety concerns were observed. Furthermore, a review of the literature on the use of sugammadex in neonates was performed.

Keywords

Neonates, Ovarian cyst, Sugammadex, Rocuronium, Reversal agent

Resumo

Resumo Relato do caso de uma criança recém-nascida de três dias de idade com um cisto ovariano gigante programada para a cirurgia. A paciente recebeu uma dose de sugamadex para reverter o bloqueio neuromuscular induzido por rocurônio. Uma recuperação rápida e eficiente do bloqueio neuromuscular foi obtida dentro de 90 segundos. Não foram observados efeitos adversos ou outros problemas de segurança. Além disso, uma revisão da literatura sobre o uso de sugamadex em recém-nascidos foi feita.

Palavras-chave

Recém-nascidos, Cisto ovariano, Sugamadex, Rocurônio, Agente de reversão

References

Noia G, Riccardi M, Visconti D. Invasive fetal therapies: approach and results in treating fetal ovarian cysts. J Matern Fetal Neonatal Med. 2012;25:299-303.

Papic JC, Billmire DF, Rescorla FJ. Management of neonatal ovarian cysts and its effect on ovarian preservation. J Pediatr Surg. 2014;49:990-4.

Plaud B, Meretoja O, Hofmockel R. Reversal of rocuronium-induced neuromuscular blockade with sugammadex in pediatric and adult surgical patients. Anesthesiology. 2009;110:284-94.

Alonso A, de Boer HD, Booij L. Reversal of rocuronium-induced neuromuscular block by sugammadex in neonates. Eur J Anaesthesiol. 2014;31(^sSuppl. 52):163.

Cardenas VHG, Gonzalez FDM. Sugammadex in the neonatal patient. Rev Colomb Anesthesiol. 2013;41:171-4.

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