A Persistant ‘Can't Intubate, Can't Oxygenate’ Crisis despite Rocuronium Reversal with Sugammadex

A ‘can't intubate, can't oxygenate’ airway crisis is a rare event which most anaesthetists will never experience during their career 1,2 . This report highlights the outcome of time-critical decisions in a potential airway catastrophe. Rocuronium was used as an alternative muscle relaxant...

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Bibliographic Details
Published in:Anaesthesia and intensive care Vol. 40; no. 2; pp. 344 - 346
Main Authors: Kyle, B. C., Gaylard, D., Riley, R. H.
Format: Journal Article
Language:English
Published: Edgecliff Anaesthesia Society of Anaesthetists 01.03.2012
Sage Publications Ltd. (UK)
Sage Publications Ltd
Subjects:
Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Case studies
Drug therapy
Health aspects
Medical sciences
Respiratory tract diseases
Rocuronium bromide
Australia
United Kingdom
laryngeal vallecular cyst
respiratory obstruction
Cyst
Anesthesia
rocuronium
Benign neoplasm
Sugammadex
Obstruction
Crisis
ISSN:0310-057X, 1448-0271
Online Access:Get full text
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Summary:A ‘can't intubate, can't oxygenate’ airway crisis is a rare event which most anaesthetists will never experience during their career 1,2 . This report highlights the outcome of time-critical decisions in a potential airway catastrophe. Rocuronium was used as an alternative muscle relaxant for rapid sequence induction. The use of sugammadex in ‘can't intubate, can't oxygenate’ crises is discussed and highlights how, despite adequate reversal of neuromuscular blockade, the ‘can't intubate, can't oxygenate’ situation failed to resolve. An asymptomatic vallecular cyst was the causal factor in this scenario. Anaesthetic issues surrounding this pathology are discussed.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-General Information-1
ObjectType-Feature-3
ObjectType-Case Study-5
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ObjectType-Report-4
ISSN:0310-057X
1448-0271
DOI:10.1177/0310057X1204000220