Wide variation in responses to neuromuscular blocking agents is well described but typically underappreciated in clinical practice. We present 2 patients with unexpected responses to rocuronium, despite being otherwise unremarkable. Quantitative neuromuscular monitoring provided clear documentation of the events, providing illustrations of these atypical responses.
From the Department of Anesthesia, University of Iowa, Carver College of Medicine, Iowa City, Iowa.
Michael M. Todd, MD, is currently affiliated with the Department of Anesthesiology, University of Minnesota School of Medicine, Minneapolis, Minnesota.
Accepted for publication March 31, 2017.
The authors declare no conflicts of interest.
Address correspondence to Paul A. Leonard, MD, PhD, Department of Anesthesia, University of Iowa, Carver College of Medicine, 200 Hawkins Dr, 6 JCP, Iowa City, IA 52242. Address e-mail to email@example.com.