Abstract
(Int J Obstet Anesth. 2019;39:129–140) Intrauterine transfusion (IUT) is a treatment for fetal anemia resulting from Rh(D) alloimmunization. Fetal paralysis is often utilized during an IUT procedure to improve its safety. Fetal bradycardia is one of the most common complications of the procedure, and use of paralysis has been found to significantly decrease the risk of fetal heart rate changes during IUT. There are several neuromuscular blocking agents (NMBA) available for inducing fetal paralysis, and a possible complication during IUT is inadvertent maternal administration of an NMBA. This case report involved maternal respiratory distress secondary to unintended neuromuscular blockade during IUT, which was treated with sugammadex administration.
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