Successful use of sugammadex in morbidly obese patient with a history of postoperative respiratory failure – Case report
Authors:
Brabcová Milena; Vymazal Tomáš
Authors place of work:
KARIM, 2. LF UK, Fakultní nemocnice v Motole
Published in the journal:
Anest. intenziv. Med., 24, 2013, č. 3, s. 157-159
Category:
Anaesthesiology - Case Report
Summary
Non-depolarizing muscle relaxing agents are routinely used in nearly two thirds of general anaesthetics. Residual neuromuscular blockade as a major side effect leads to hypoventilation and can contribute to the development of postoperative aspiration and pneumonia. This case report compares the peri-operative course of a patient who underwent the same surgical procedure within tree years. It corroborated the effectiveness and reliability of sugammadex.
Keywords:
residual neuromuscular blockade – hypoventilation – sugammadex
Zdroje
1. Černý, V., Adamus, M., Cvachovec, K., Ševčík, P., Herold, I. Anestezie v České republice 2010 – jednodenní prospektivní observační dotazníková studie. Anest. intenziv. Med., 2011, 22, 1, p. 5–12.
2. Naguib, M. Neuromuscular monitoring and postoperative residual curarisation: a meta-analysis. Br. J. Anaesth., 2007, 98, p. 302–316.
3. Adamus, M., Koutna, J., Neoral, C. The incidence of postoperative residual curarization in the recovery room after rocuronium administration. Rozhl. Chir., 2007, 86, 1, p. 11–16.
4. Cerny, V., Herold, I., Cvachovec, K., Sevcik, P., Adamus, M. Guidelines for managing neuromuscular block: not only Czech beer deserves a taste. Anesth. Analg., 2011, 112, 2, p. 482.
5. Argiriadou, H., Anastasiadis, K., Thomaidou, E., Vasilakos, D. Reversal of neuromuscular blockade with sugammadex in an obese myasthenic patient undergoing thymectomy. J. Anesth., 2011, 25, 2, p. 316–317.
6. Adamus, M., Herold, I. Sugammadex z pohledu medicíny založené na důkazech. Anest. intenziv. Med., 2012, 23, 5, p. 237–240.
7. Murphy, G. S. Residual neuromuscular blockade: incidence, assessment, and relevance in postoperative period. Minerva Anestesiol., 2006, 72, p. 97–109.
8. Berg, H., Roed, J. Residual neuromuscular blockis a risk factor for postoperative pulmonary complications. A prospective, randomised, and blinded study of postoperative pulmonary complications after atracurium, vecuronium and pancuronium. Acta Anaesthesiol. Scand., 1997, 41, p. 1095–1103.
Štítky
Anaesthesiology, Resuscitation and Inten Intensive Care MedicineČlánok vyšiel v časopise
Anaesthesiology and Intensive Care Medicine
2013 Číslo 3
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