Postoperative Recurarization in a Pediatric Patient After Sugammadex Reversal of Rocuronium-Induced Neuromuscular Blockade: A Case Report

A A Pract. 2019 Sep 15;13(6):204-205. doi: 10.1213/XAA.0000000000001023.


We present a case of a pediatric patient who developed recurarization after a cardiac catheterization procedure. Intraoperative neuromuscular blockade was achieved with 2 doses of rocuronium, and the blockade was reversed with a bolus dose of sugammadex at the end of the procedure. While recovering in the pediatric cardiac intensive care unit, the patient developed respiratory failure and a decline in the train-of-four response. The patient fully recovered after receiving a second dose of sugammadex.

Publication types

  • Case Reports

MeSH terms

  • Delayed Emergence from Anesthesia / complications
  • Delayed Emergence from Anesthesia / drug therapy*
  • Female
  • Humans
  • Infant
  • Neuromuscular Blockade / methods
  • Postoperative Period
  • Respiratory Insufficiency / complications
  • Respiratory Insufficiency / drug therapy*
  • Rocuronium / antagonists & inhibitors*
  • Rocuronium / pharmacology
  • Sugammadex / adverse effects*
  • Sugammadex / therapeutic use*


  • Sugammadex
  • Rocuronium