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The use of 3 sugammadex out of 5 reversal of during recovery of rocuronium-induced neuromuscular blockade in a patient with post-tonsillectomy hemorrhage -a case report-

Title
The use of 3 sugammadex out of 5 reversal of during recovery of rocuronium-induced neuromuscular blockade in a patient with post-tonsillectomy hemorrhage -a case report-
Author
정미애
Keywords
Postoperative hemorrhage; Rocuronium; Sugammadex; Tonsillectomy
Issue Date
2014-07
Publisher
Korean Journal of Anesthesiology
Citation
Korean J Anesthesiol, 2014, 67(1), P.43-47.
Abstract
Post-tonsillectomy hemorrhage (PTH) is the most frequent complication of tonsillectomy, and occasionally results in a lethal outcome. A 21-year-old man (height 180 cm, weight 95 kg) was scheduled for a bilateral tonsillectomy and uvulopalatopharyngoplasty for treatment of obstructive sleep apnea. He required 5 rounds of general anesthesia due to recurrent PTH. The anesthesiologist used sugammadex a total of 3 times to achieve the successful reversal of the deep neuromuscular blockade (NMB) induced by rocuronium. After sugammadex 2 mg/kg was administered, the NMB was reversed in 2 minutes each time. Re-administration of rocuronium within a short time interval after sugammadex may result in unpredictable effects of neuromuscular blocking agents. Sugammadex made it possible to perform a rapid, complete reverse when the residual block was maintained by an incomplete reversal of anticholinesterase.
URI
http://eds.a.ebscohost.com/eds/detail/detail?vid=0&sid=3694942a-5e16-48d0-bce7-6beddbf583f3%40sessionmgr4006&bdata=Jmxhbmc9a28mc2l0ZT1lZHMtbGl2ZQ%3d%3d#AN=edselc.2-52.0-84905583764&db=edselchttp://hdl.handle.net/20.500.11754/46745
ISSN
2005-6419; 2005-7563
DOI
10.4097/kjae.2014.67.1.43,
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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