Use of Sugammadex in a Patient with Amyotrophic Lateral Sclerosis

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Kelsaka E., Karakaya D., Zengin E. C.

MEDICAL PRINCIPLES AND PRACTICE, cilt.22, sa.3, ss.304-306, 2013 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 22 Sayı: 3
  • Basım Tarihi: 2013
  • Doi Numarası: 10.1159/000343168
  • Dergi Adı: MEDICAL PRINCIPLES AND PRACTICE
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.304-306
  • Anahtar Kelimeler: Amyotrophic lateral sclerosis, Rocuronium, Sugammadex
  • Ondokuz Mayıs Üniversitesi Adresli: Evet

Özet

Objective: To report on general anesthesia management in amyotrophic lateral sclerosis. Case Presentation and Intervention: A 47-year-old man presented with fracture of the humerus. The patient was diagnosed with amyotrophic lateral sclerosis. General anesthesia was induced with propofol, rocuronium and remifentanil. After uneventful surgical repair, TOF (train-of-four) ratio reached >0.90 at the end of operation. However, muscle strength and tidal volume were inadequate. After sugammadex 2 mg kg(-1) i.v. was given, the patient was extubated 120 s later. Conclusion: This case highlights that rocuronium and sugammadex can be used safely in patients with amyotrophic lateral sclerosis undergoing surgery with general anesthesia. Copyright (C) 2012 S. Karger AG, Basel