Case report: Rapid arousal from anaesthesia after reversal of deep rocuronium-induced...

... neuromuscular block with sugammadex in a neuroradiological procedure.

Matteo Giuffrida, Nicola Susan Ledingham, Paolo Machi and Christoph Czarnetzki.

BMJ Case Rep: first published on 20 August 2021

DOI: dx.doi.org/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.

Clinicaltrials.gov identifier: NCT01571908