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Prolonged duration of action of rocuronium in a preterm infant: a case report
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DOI：10.3389/fped.2026.1776762.png)
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Abstract
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Prolonged duration of action of rocuronium is rare but has been more frequently reported in infants. Yet it has not been reported in pre-term infants. We present a case of unusually prolonged neuromuscular blockade following a bolus dose of rocuronium administered during rapid sequence induction in a preterm infant leading to difficult weaning from mechanical ventilation. This case highlights the importance of neuromuscular blockade monitoring even after a bolus dose of neuromuscular blockade in (pre-term) neonates.
Keywords:
neonates
neuromuscular monitoring
preterm neonates
prolonged neuromuscular blockade
rocuronium
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