Catalá-Ripoll JV, Martínez-González E, Cuesta-Montero P, Gerónimo-Pardo M

Language: Spanish
References: 38
Page: 84-89
PDF size: 214.90 Kb.

ABSTRACT

Background: Closed reduction of dislocations or surgical procedures conducted under locoregional anesthesia are sometimes interfered or even precluded by the muscular tone present in an awake patient with spontaneous breathing. In these clinical conditions the administration of a subanesthetic dose of rocuronium can allow for these procedures to be completed, without losing spontaneous breathing. Objective: To describe our first experiences employing subanesthetic doses of rocuronium in awake patients. Methods: chart review of patients treated with subanesthetic doses of rocuronium in awake patients with spontaneous breathing. Results: 16 treatments were performed on 15 patients to enable completing closed reduction of dislocations or surgery procedures under locoregional anesthesia. The degree of muscular relaxation needed to complete the procedures was attained in all cases, even though a second dose was needed in five patients; one of the prosthesis dislocated could not be reduced due to mechanical problems. Final doses of rocuronium ranged between 4 and 10 mg for absolute values, or between 0.05 and 0.10 mg/kg for weight-related doses. Undesired adverse effects (diplopia, metallic taste) were scarce and transient, and well tolerated by the patients. Conclusion: Administration of subanesthetic doses of rocuronium may be a useful alternative in clinical conditions where a brief degree of muscular relaxation is needed.

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