PMC5815464_01
a Plasma concentrations for the sum of sugammadex and sugammadex-rocuronium complex. Gray bars represent hemodialysis, and black diamonds show the concentration before and after hemodialysis. b Minimum train of four ratio immediately before electroconvulsive therapy. HD hemodialysis, ECT electroconvulsive therapy, TOF train of four
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PMC5815464_01_40981_2016_55_Fig1_HTML.jpg
Fig1
Changes in plasma concentrations for the sum of sugammadex and its complex are shown in Fig. 1a, and minimum TOF ratio immediately before electroshock is shown in Fig. 1b. However, an accumulation of sugammadex did occur even after two sessions of hemodialysis (Fig. 1a). In this case report, we confirmed that residual sugammadex decreased the effect of the fixed dose of rocuronium given in the subsequent ECT sessions (Fig. 1b).