제왕 절개술을 위한 전신마취 시 병적비만 산모에서 sugammadex의 사용
- Title
- 제왕 절개술을 위한 전신마취 시 병적비만 산모에서 sugammadex의 사용
- Other Titles
- Sugammadex in a Patient with Morbid Obesity Undergoing General Anesthesia for Caesarean Section-A Case Report-
- Author
- 김교상
- Keywords
- Caesarean section; General anesthesia; Morbid obesity; Sugammadex
- Issue Date
- 2016-09
- Publisher
- 경의의료원
- Citation
- 경희의학(JOURNAL OF KYUNG HEE UNIVERSITY MEDICAL CENTER), v. 31, NO. 1, Page. 49-53
- Abstract
- Morbid obesity in a pregnancy is a great challenge to medical practice especially when the patient requires Caesarean section. A 38-year-old primigravida (127.5 kg, 164 cm, BMI 47.4 kg/m2) with fetal breech presentation was scheduled Caesarean section at 39-week gestation. After informed consent, anesthesia was induced in rapid sequence with propofol and rocuronium (1 mg/kg), which was monitored with train- offour stimulation and bispectral index scale. Intubation was performed using Pentax-AWS® video laryngoscope, and anesthesia was maintained with sevoflurane and remifentanil. When the operation was over, the patient was extubated at TOF ratio 0.98 after reversal with sugammadex (2 mg/kg). We report sugammadex is a quick, safe, and effective reversal of rocuroniuminduced neuromuscular block in morbidly obese paturient during Caesarean section under general anesthesia.
- URI
- http://kiss.kstudy.com/thesis/thesis-view.asp?key=3470529https://repository.hanyang.ac.kr/handle/20.500.11754/76590
- ISSN
- 1010-0687
- Appears in Collections:
- COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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