Abstract
We evaluated rocuronium-induced neuromuscular block and sugammadex-facilitated recovery from neuromuscular block in a pregnant patient with spinal muscular atrophy type Ⅲ scheduled to undergo a cesarean section under general anesthesia.
About 90 minutes after a bolus intubating dose of rocuronium 1 mg/kg, the first post-tetanic count finally reappeared at the adductor pollicis muscle.
A markedly longer duration of action of rocuronium was observed, but, the time for recovery to baseline train-of-four ratio was 75 s after an injection of sugammadex 4 mg/kg.
Even in a pregnant patient with spinal muscular atrophy, sugammadex was effective for rapid reversal from rocuronium-induced neuromuscular block.
