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May 3, 2026Anesthesia and Pain Medicine0 citationsOpen Access

General Anesthesia Without Neuromuscular Blocking Agents Using Regional Blocks

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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