Author/Authors :
Tuzcu, Kasım Mustafa Kemal Üniversitesi - Tıp Fakültesi - Anesteziyoloji ve Reanimasyon Anabilim Dalı, Turkey , Davarcı, Işıl Mustafa Kemal Üniversitesi - Tıp Fakültesi - Anesteziyoloji ve Reanimasyon Anabilim Dalı, Turkey , Karcıoğlu, Murat Mustafa Kemal University - Tıp Fakültesi - Anesteziyoloji ve Reanimasyon Anabilim Dalı, Turkey , Bozdoğan, Yusuf Bolkan Mustafa Kemal Üniversitesi - Tıp Fakültesi - Anesteziyoloji ve Reanimasyon Anabilim Dalı, Turkey , Aydın, Suzan Mustafa Kemal Üniversitesi - Tıp Fakültesi - Anesteziyoloji ve Reanimasyon Anabilim Dalı, Turkey , Kekeç, Leyla Mustafa Kemal Üniversitesi - Tıp Fakültesi - Anesteziyoloji ve Reanimasyon Anabilim Dalı, Turkey
Abstract :
Postoperative residual curarization caused by prolonged effect of non-depolarizing neuromuscular blocking agents is still a serious, frequent and life threatening problem in modern anesthesia. If postoperative residual neuromuscular block cannot be recovered properly, postoperative pulmonary complications and mortality may increase. We used rocuronium as a neuromuscular blocker in our American Society of Anesthesiologists II risked patient which was operated for a spinal mass. Respiratory failure was occurred in our patient despite the usage of neostigmine for recovering neuromuscular block caused by rocuronium. The patient was tachycardic, tachypneic, the tidal volume was decreased and the muscle strength was weak. After the ineffectiveness of neostigmine in recovering neuromuscular blockage, 200mg sugammadex which is a modified γ-cyclodextrin was given to the patient. We observed that neuromuscular blockage was recovered rapidly and effectively. In conclusion, we think that using sugammedex is effective and safe in residual curarization caused by rocuronium in which traditional anticholinergic agents are not successful.
