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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 299 - 304 (6page)
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초록· 키워드
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Background: New complications associated with sugammadex have been increased since its widespread use. We report a case of an 80-year-old male who experienced profound bradycardia and sustained hypotension after administration of sugammadex. Case: Following administration of 200 mg sugammadex after laparoscopic cholecystectomy, sudden bradycardia (29 beats/min) developed for 10 seconds and his trainof- four (TOF) ratio remained at 0.2 for 5 min. An additional 200 mg sugammadex was administered and profound bradycardia (21–30 beats/min) and hypotension (60/40 mmHg) developed. Atropine at 0.5 mg was administered, but the effect lasted only 30 s. Profound bradycardia occurred four more times at 30 s intervals, and ephedrine and phenylephrine were injected intermittently to increase the patient’s heart rate and blood pressure. The TOF ratio became 0.9 about 10 min after administration of additional sugammadex. Conclusions: Awareness must be heightened regarding the possibility of sugammadexinduced bradycardia and hypotension, and more attention should be paid to patients with slow recovery times following muscle relaxation, despite the use of sugammadex.
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등록된 정보가 없습니다.
참고문헌 (15)
참고문헌 신청
Godai K / 2012 / Three cases of suspected sugammadex-induced hypersensitivity reactions / Br J Anaesth 109:216~218
김윤희 / 2016 / Sugammadex: watch out for new side effects / Korean Journal of Anesthesiology 69(5):427~428
Sanoja IA / 2019 / Profound bradycardia and cardiac arrest after sugammadex administration in a previously healthy patient : a case report / A A Pract 12:22~24
Bhavani SS / 2018 / Severe bradycardia and asystole after sugammadex / Br J Anaesth 121:95~96
Hunter JM / 2018 / Sugammadex-induced bradycardia and asystole: how great is the risk? / Br J Anaesth 121:8~12
김윤희 / 2016 / Sugammadex: watch out for new side effects / Korean Journal of Anesthesiology 69(5):427~428
Sanoja IA / 2019 / Profound bradycardia and cardiac arrest after sugammadex administration in a previously healthy patient : a case report / A A Pract 12:22~24
Bhavani SS / 2018 / Severe bradycardia and asystole after sugammadex / Br J Anaesth 121:95~96
Hunter JM / 2018 / Sugammadex-induced bradycardia and asystole: how great is the risk? / Br J Anaesth 121:8~12
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