A Case Report of Acute Onset and Rapid Resolution of Atrioventricular Block After Sugammadex: Is the Autonomic System Involved?
A A Pract
; 17(5): e01683, 2023 May 01.
Article
in En
| MEDLINE
| ID: mdl-37146215
ABSTRACT
Administering sugammadex to reverse neuromuscular blockade can cause marked bradycardia and rarely asystole. In this case, a rapid onset, biphasic heart rate response; slowing then speeding, after administering sugammadex was noted while at steady state, 1.3% end-tidal sevoflurane. On review of the electrocardiogram (ECG), the heart rate slowing coincided with the onset of a second-degree, Mobitz type I block that lasted 45 seconds. No other events, drugs, or stimuli coincided with the event. The acute onset and transient nature of the atrioventricular block without evidence of ischemia implies a brief parasympathetic effect on the atrioventricular node after sugammadex administration.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Neuromuscular Nondepolarizing Agents
/
Gamma-Cyclodextrins
/
Atrioventricular Block
Limits:
Humans
Language:
En
Journal:
A A Pract
Year:
2023
Document type:
Article