Sugammadex-induced bronchospasm: a case report

  • Saeyoung Kim (Department of Anesthesiology and Pain Medicine, School of Medicine, Kyungpook National University) ;
  • Hyojun Choo (Department of Anesthesiology and Pain Medicine, School of Medicine, Kyungpook National University) ;
  • Hoon Jung (Department of Anesthesiology and Pain Medicine, School of Medicine, Kyungpook National University) ;
  • Ji Hyun Kim (Department of Anesthesiology and Pain Medicine, School of Medicine, Kyungpook National University)
  • 투고 : 2023.07.24
  • 심사 : 2023.09.02
  • 발행 : 2023.10.01


Sugammadex has shown faster reversal of steroidal neuromuscular blockade (NMB) than neostigmine, a traditional reversal agent for NMB, even in the intense block phase. This efficiency is possible because of the unique mechanism of action by encapsulating the NMB molecules. Therefore, with the use of sugammadex, we can also expect to avoid direct interactions with the cholinergic system and its subsequent side effects, which are disadvantages of traditional drugs. However, despite these benefits and US Food and Drug Administration (FDA) approval in 2015, rare adverse events associated with sugammadex have been reported. Herein, we report a case of bronchospasm that developed immediately after sugammadex administration.



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