Rapid arousal from anaesthesia after reversal of deep rocuronium-induced neuromuscular block with sugammadex in a neuroradiological procedure

We describe the case of a 42-year-old man undergoing elective embolisation of an arteriovenous malformation at the level of the right posterior cerebral artery under propofol anaesthesia. We used the SedLine Brain Function Monitor (Masimo) to titrate the anaesthetic depth with propofol. At the end of the procedure, the patient aroused from anaesthesia very rapidly after the reversal of deep neuromuscular block with sugammadex, despite still significant calculated doses of propofol at the effect site. This rapid arousal was monitored using the SedLine Brain Function Monitor.

Automated summary

This case study describes the use of the SedLine Brain Function Monitor to titrate propofol anaesthesia in a patient undergoing arterial malformation embolisation. The patient rapidly aroused from anaesthesia after reversal of deep neuromuscular block, despite still having significant calculated doses of propofol at the effect site. SedLine Brain Function Monitor was used to monitor this rapid arousal.