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논문 기본 정보

자료유형
학술저널
저자정보
김승운 (Department of Medicine, Graduate School, Chosun University) 김서라 (Department of Anesthesiology and Pain Medicine, Chosun University Hospital) Jung Ki Tae (Department of Anesthesiology and Pain Medicine, Chosun University Hospital, Gwangju, KoreaDepartment of Anesthesiology and Pain Medicine, Chosun University, School of Medicine, Gwangju, Kore)
저널정보
대한마취통증의학회(구 대한마취과학회) Anesthesia and Pain Medicine Anesthesia and Pain Medicine Vol.19 No.1
발행연도
2024.1
수록면
54 - 61 (8page)
DOI
10.17085/apm.23111

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Background: Charcot-Marie-Tooth disease (CMTD) is a hereditary polyneuropathy associated with a life-threatening risk of pulmonary complications.Case: A 61-year-old male with CMTD for 40 years was admitted for the drainage of an abscess in his left ankle. Total intravenous anesthesia was administered, and an electromyography device was attached to the hand for neuromuscular monitoring; however, the response was not measured. Kinemyography and acceleromyography devices were attached to both hands, and responses were obtained. After neuromuscular blockade (NMB) with rocuronium 0.6 mg/kg, the train-of-four (TOF) response on kinemyography was normally measured, but the post-tetanic count on acceleromyography consistently showed 0 during anesthesia. Sugammadex 200 mg was injected to reverse the NMB. After 5 min, the TOF ratios for kinemyography and acceleromyography exceeded 90%. The patient recovered without any complications.Conclusions: For CMTD patients, acceleromyography or kinemyography is superior to electromyography, and sugammadex can be used to reverse NMB successfully.

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