1. Suspected Sinus Arrest After Sugammadex Administration: A Case Report.
- Author
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Uchida T, Ikuno T, Ikeda Y, Ueda M, Toya A, Manabe Y, and Momota Y
- Subjects
- Humans, Male, Young Adult, Electrocardiography, Sinus Arrest, Cardiac chemically induced, Sinus Arrest, Cardiac diagnosis, Atropine administration & dosage, Atropine adverse effects, Anesthesia, Dental adverse effects, Anesthesia, Dental methods, Neuromuscular Nondepolarizing Agents administration & dosage, Neuromuscular Nondepolarizing Agents adverse effects, Heart Rate drug effects, Sugammadex administration & dosage, Sugammadex adverse effects, Bradycardia chemically induced, Bradycardia diagnosis, Anesthesia, General adverse effects
- Abstract
We describe a case of profound bradyarrhythmia after sugammadex administration during ambulatory anesthesia. The patient was a 21-year-old man with autism spectrum disorder undergoing planned general anesthesia for dental treatment. After treatment completion, sugammadex was administered upon awakening, and sudden bradyarrhythmia appeared immediately. The patient's heart rate decreased to approximately 30 beats/min but quickly recovered to roughly 80 beats/min after the administration of intravenous atropine. Electrocardiography suggested sinoatrial block or sinus arrest. Although the exact mechanism is unknown, severe electrocardiographic changes can occur within a few minutes of sugammadex administration.
- Published
- 2024
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