Sugammadex: Safe for Ambulatory Surgery in Patients with ALS?

Amyotrophic lateral sclerosis (ALS) is an autosomal- dominant disease which characterized by degeneration of upper and lower neurons. Sugammadex, is an agent acts encaplulating steroidal muscular relaxant to form a stable compel, thereby reduction of free concentration of the muscle relaxant from the plasma, which provides rapidly recovery from neuromuscular blocage effect. This complex of sugammadex and muscle relaxant is freely excreted through the kidneys. Sugammadex in recent years frequently has been used, with neuromuscular disease patients, who require neuromuscular blocage in the implimentation of general anesthesia. But in ambulatory surgery it is hard to use muscle relaxant in patients with a neuromuscular disease. In this case report, we described general anesthesia administration and use of sugammadex ? rocuronium in a patient with ALS in ambulatory surgery.