title: [Sugammadex and renal failure: a case report].
abstract: We report a case of delayed rocuronium-induced deep block antagonization with sugammadex, thus requiring a total of three injections and a cumulative dose of 12 mg/kg over a 30 min period. The patient was an emergency case with full stomach that had required a rapid sequence induction. Because of hyperkaliemia due to an acute renal failure, rocuronium was preferred to succinylcholine. Use of sugammadex in the acute renal failure context is discussed.
authors: Département D'anesthésie-Réanimation, Douleur, Urgences, CHU de Nîmes, place du Professeur-Debré, 30029 Nîmes Cedex 09, France. mathieubriere@laposte.net
authors: M
authors: M
authors: Briere
authors: C
authors: C
authors: Boisson
authors: P
authors: P
authors: Cuvillon
authors: B
authors: B
authors: Debaene
authors: J
authors: J
authors: Ripart
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology*; D000368:Aged; D000732:Androstanols / Q000037:antagonists & inhibitors; D000768:Anesthesia, General; D004632:Emergency Medical Services; D005260:Female; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology; D006947:Hyperkalemia / Q000209:etiology; D007680:Kidney Neoplasms / Q000556:secondary / Q000601:surgery; D003473:Neuromuscular Nondepolarizing Agents / Q000037:antagonists & inhibitors; D000077123:Rocuronium; D000077122:Sugammadex; D002583:Uterine Cervical Neoplasms / Q000473:pathology; D047408:gamma-Cyclodextrins / Q000009:adverse effects*
chemical_list: D000732:Androstanols; D003473:Neuromuscular Nondepolarizing Agents; D047408:gamma-Cyclodextrins; D000077122:Sugammadex; D000077123:Rocuronium