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May 3, 2026Anesthesia and Pain MedicineOpen Access

General anesthesia without neuromuscular blocking agents using regional blocks in rocuronium-induced anaphylaxis - A case report -

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Authors

JKJi Young KimYYYoung Chul YooNKNa Young Kim

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Overview

Case report shows effective NMBA-free general anesthesia in a patient with rocuronium anaphylaxis, suggesting safe alternatives for high-risk surgeries.

Key Points

  • To demonstrate the feasibility of providing general anesthesia without neuromuscular blocking agents in a patient experiencing anaphylaxis to rocuronium.
  • Induced and maintained general anesthesia with total intravenous anesthesia and regional blocks.
  • Executed bilateral transversus abdominis plane and rectus sheath blocks for analgesia.
  • Monitored airway and hemodynamics throughout the procedure.
  • Patient experienced stable ventilation and hemodynamic parameters during the procedure.
  • Recovery was uneventful, with no agitation or delayed arousal.
  • Patient was discharged without complications on postoperative day 5.

Cite This Study

Kim et al. (2026) studied this question.

synapsesocial.com/papers/69f6e6648071d4f1bdfc7057https://doi.org/10.17085/apm.25396
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Rescue of rocuronium-induced refractory anaphylax is with sugammadex in a laparoscopic hysterecto my: A case report2025
  2. 2Awake emergency laparotomy under combined spinal epidural anaesthesia in a high-risk patient with severe pulmonary disease and neuromuscular blocking agent anaphylaxis2026
  3. 3Anesthetic Management of a Patient with Advanced Anti-Myelin-Associated Glycoprotein Antibody Neuropathy in the Absence of Measurable Quantitative Neuromuscular Responses: A Case Report2026
  4. 4Pharmacological strategies to minimize or avoid neuromuscular blocking agents during general anesthesia: a comprehensive approach from airway management to surgical requirements2026
  5. 5Perioperative Anaphylactic Shock Induced by Rocuronium: A Case Report Observed in the Operating Room2026