A narrative review. After neuromuscular blockers and antibiotics, don’t forget chlorhexidine and latex. Serum tryptase seems the most useful test to follow for a little while
So the jury is back and we must all prepare a Phenylephrine syringe pump to commence on inserting the spinal in OB
We may see more of Norepinephrine in the future – about 8mcg seems the equivalent of 100mcg Phenylephrine, without the bradycardia link
Don’t forget to advise female patients taking birth control of the interaction when Sugammadex was used.
As an aside, as always neuromuscular block must be monitored to determine an adequate dose of Sugammadex. And what if reintubation is needed? Succinylcholine still works normally, and Rocuronium can be used but in the first few hours after Sugammadex it may need double the dose; alternatively Cisatracurium is unaffected (and unreversible by Sugammadex). We are also seeing some reports of allergic reactions to Sugammadex or the complex it forms, so no it’s not a recommended treatment for Rocuronium allergic reaction.