Recurarization in the recovery room.
A case of recurarization in the recovery room is reported. Accumulation of atracurium in the intravenous line led to recurarization after flushing the line in the recovery room. A respiratory arrest with severe desaturation and bradycardia occurred. Circumstances leading to this event and the mechanisms enabling a neuromuscular blockade to occur, following the administration of a small dose of relaxant, are discussed.
Albaladejo
P
P
Department of Anesthesiology, Bicêtre Hospital, Le Kremlin Bicêtre, France.
Kinirons
B
B
Brocas
E
E
Benhamou
D
D
Samii
K
K
D000328:Adult; D000762:Anesthesia Recovery Period; D001049:Apnea / Q000139:chemically induced; D001279:Atracurium / Q000008:administration & dosage / Q000009:adverse effects*; D001794:Blood Pressure / Q000187:drug effects; D001919:Bradycardia / Q000139:chemically induced; D003490:Cyanosis / Q000139:chemically induced; D005260:Female; D006339:Heart Rate / Q000187:drug effects; D006801:Humans; D007262:Infusions, Intravenous / Q000009:adverse effects; D019148:Neuromuscular Blockade; D003473:Neuromuscular Nondepolarizing Agents / Q000008:administration & dosage / Q000009:adverse effects*; D010100:Oxygen / Q000097:blood; D011997:Recovery Room
D003473:Neuromuscular Nondepolarizing Agents; D001279:Atracurium; D010100:Oxygen