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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 조선대학교 의학연구원 Medical Biological Science and Engineering Medical Biological Science and Engineering Vol.3 No.1
- 발행연도
- 2020.1
- 수록면
- 16 - 19 (4page)
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초록· 키워드
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In obese patients, correct insertion of the intravenous line and early identification of subcutaneous injection may be difficult. We report management of accidental subcutaneous rocuronium administration in a 38-year-old, obese Korean woman undergoing elective breast cancer surgery. The perioperative management of the patient is discussed, and a review of the literature is provided. Little information is available regarding the absorption of medications outside of the typical route of administration. The accidental subcutaneous infiltration of neuromuscular blocking agents may lead to pulmonary complications. Early identification of subcutaneous infiltration is important and open discussion with many treatment team members is critical. Careful monitoring including neuromuscular monitoring in the post-anesthesia care unit is essential.
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참고문헌 (13)
참고문헌 신청
Lake C / 2010 / Extravasation injuries and accidental intra-arterial injection / Contin Educ Anaesth Crit Care Pain 10:109~113
Murphy GS / 2015 / Residual neuromuscular block in the elderly : incidence and clinical implications / Anesthesiology 123:1322~1336
Murphy GS / 2008 / Residual neuromuscular blockade and critical respiratory events in the postanesthesia care unit / Anesth Analg 107:130~137
Leykin Y / 2004 / The pharmacodynamic effects of rocuronium when dosed according to real body weight or ideal body weight in morbidly obese patients / Anesth Analg 99:1086~1089
Richter WF / 2012 / Mechanistic determinants of biotherapeutics absorption following SC administration / AAPS J 14:559~570
Murphy GS / 2015 / Residual neuromuscular block in the elderly : incidence and clinical implications / Anesthesiology 123:1322~1336
Murphy GS / 2008 / Residual neuromuscular blockade and critical respiratory events in the postanesthesia care unit / Anesth Analg 107:130~137
Leykin Y / 2004 / The pharmacodynamic effects of rocuronium when dosed according to real body weight or ideal body weight in morbidly obese patients / Anesth Analg 99:1086~1089
Richter WF / 2012 / Mechanistic determinants of biotherapeutics absorption following SC administration / AAPS J 14:559~570
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