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Prolonged effect of succinylcholine following reversal of residual rocuronium bromide block: A case report

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Case Report

Author Details : Rashid M Khan, Aziz Haris, Naresh Kaul*, Sorin J Brull

Volume : 7, Issue : 4, Year : 2020

Article Page : 695-697

https://doi.org/10.18231/j.ijca.2020.124

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Abstract

Succinylcholine is administered in small doses to relieve post-extubation laryngospasm. We report a 3-month-old infant weighing 5.1 kg who developed severe laryngospasm after tracheal extubation following reversal of rocuronium bromide neuromuscular block. Succinylcholine 2.5 mg promptly relieved the spasm but apnea lasted for nearly an hour in a patient with normal dibucaine number. We postulate that this prolonged apnea was related to the timing of succinylcholine administration in relation to the degree of recovery from non-depolarising neuromuscular block.

Keywords: Complications - laryngeal spasm, Succinylcholine, Prolonged apnea.

How to cite : Khan R M , Haris A , Kaul N , Brull S J , Prolonged effect of succinylcholine following reversal of residual rocuronium bromide block: A case report. Indian J Clin Anaesth 2020;7(4):695-697

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