Anesthetic drugs & techniques

Extravascular injection of neuromuscular blocking drugs: A systematic review of current evidence and management

Eur J AnaesthesiolPublished Systematic review of case reports, case series and a clinical trial

Authors' conclusion

According to the current literature, extravasation of NMBDs results in an unpredictable neuromuscular block.

Study context

Population
Patients with paravenous or subcutaneous injection of neuromuscular blocking drugs9 articles
Outcome
Neuromuscular block after NMBD extravasation
Methodological detailsMedline and Embase search
  • Medline and Embase search

Pooled result

As reported in the abstract

Slower onset of neuromuscular block, median delay

20 min

Residual neuromuscular block at end of surgery (patients)

9

Prolonged postoperative monitoring in recovery room, median time

4 h

Further pooled results

NMBD used

Rocuronium (cases)
9
Vecuronium (cases)
2
Pancuronium (cases)
1

Original publication

Extravascular injection of neuromuscular blocking drugs: A systematic review of current evidence and management. Eur J Anaesthesiol. Published 27 February 2024. doi:10.1097/eja.0000000000001967

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