ANESTHESIA MANAGEMENT IN A PATIENT WITH ROCURONIUM ALLERGY
DOI:
https://doi.org/10.67214/pzrqwg35Keywords:
avoiding muscle relaxants, general anesthesia, neuromuscular blocking agent free anesthesia, rocuronium allergyAbstract
Neuromuscular blocking agents (NMBAs) are commonly used in anesthesia but are also leading causes of perioperative anaphylaxis, posing a significant challenge for anesthesiologists. This case report describes the anesthetic management of a 63-years-old male with a document- ed allergy to rocuronium undergoing femoro-femoral crossover bypass surgery. Despite nega- tive allergy testing prior to surgery, the procedure was conducted without the use of NMBAs to avoid potential anaphylaxis. Induction and maintenance of the anesthesia were achieved with propofol and remifentanil, ensuring excellent intubation conditions and hemodynamic stability throughout the whole surgery. The patient had an uneventful recovery and was discharged on the third postoperative day. This report highlights the feasibility and safety of an NMBA-free anesthetic approach, particularly for patients with contraindications. It underscores the impor- tance of individualized anesthetic planning and the effective use of alternative techniques to ensure patient’s safety and optimal surgical outcomes.
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