A 49-year-old patient is paralysed with vecuronium and ventilated. The train-of-four count is zero but post-tetanic count is 8. Which reversal

Question

A 49-year-old patient is paralysed with vecuronium and ventilated. The train-of-four count is zero but post-tetanic count is 8. Which reversal strategy is most appropriate if immediate reliable reversal is required?

Accepted Answer

Neostigmine alone at standard dose

Answer

Sugammadex at a dose appropriate for deep aminosteroid block

Answer

Calcium chloride to increase acetylcholine release

Answer

Wait for spontaneous recovery to train-of-four ratio 0.9 without intervention

Answer

Edrophonium with atropine

Sugammadex for deep vecuronium block — FRCA Primary MCQ

A 49-year-old patient is paralysed with vecuronium and ventilated. The train-of-four count is zero but post-tetanic count is 8. Which reversal strategy is most appropriate if immediate reliable reversal is required?