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Case Reports in Anesthesiology
Volume 2014, Article ID 680568, 3 pages
http://dx.doi.org/10.1155/2014/680568
Case Report

Sugammadex and Reversal of Neuromuscular Block in Adult Patient with Duchenne Muscular Dystrophy

Department of Anesthesiology and Intensive Care, Sapienza University, Viale del policlinico 155, 00161 Rome, Italy

Received 9 January 2014; Accepted 10 February 2014; Published 13 March 2014

Academic Editors: A. Han, J. G. Jakobsson, T. Suzuki, and E. A. Vandermeersch

Copyright © 2014 Ahmed Abdelgawwad Wefki Abdelgawwad Shousha et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Duchenne’s muscular dystrophy (DMD) is the most common and severe form of myopathy. Patients with DMD are more sensitive to sedative, anesthetic, and neuromuscular blocking agents which may result in intraoperative and early postoperative cardiovascular and respiratory complications, as well as prolonged recovery from anesthesia. In this case report, we describe a 25-year-old male patient admitted for cholecystectomy under general anesthesia. We induced our anesthesia by oxygen, propofol, fentanyl, and rocuronium bromide. Maintenance was done by fentanyl, rocuronium bromide, sevoflurane, and O2. We report in this case the safety use of sugammadex to antagonize the neuromuscular block and rapid recovery in such category of patients.