Sugammadex related atypical laryngospasm with unusual rescue A case report

Abstract Purpose To describe our experience using rocuronium to rescue sugammadex related atypical laryngospasm during a case under general anesthesia. Clinical features A patient was a 56-year-old, who was admitted for fungal keratitis and underwent a Penetrating Keratoplasty (PKP) on 12th June 2024. The procedure was smooth and took about 100 minutes. An airway spasm just happened after 120mg sugammadex was provided at the end of the procedure and manual ventilation did few work. Then 30mg rocuronium was provided for intubation, about 30 seconds later the ventilation became into effect and intubation successfully. We saw half-closed vocal cords during the intubation. Conclusions Laryngospasm remains a tenacious problem for unpredictable causes and atypical signs, furthermore rocuronium may be an unusual and brilliant choice for the laryngospasm especially when it was related tosugammadex and presented atypically.