You are about 15 minutes into a routine laparoscopic cholecystectomy for symptomatic cholelithiasis in a 45 year old woman when you hear the beeping of the heart monitor speed up. You are still dissecting out Calot's triangle and have not yet cut or clipped any ducts or arteries. As far as you can tell, hemostasis is fine. The anesthesiologist says, "We have a problem. She has masseter stiffness, sinus tachycardia, skin cyanosis with mottling, and fever."
Challenge: Without the right therapy, the patient is at risk for hypotension, dysrhythmias, rhabdomyolysis, electrolyte abnormalities, DIC, acidosis, and cardiac arrest. The anesthesiologist should be grabbing what drug?
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