Aktivní reverze nervosvalové blokády rokuroniem podáním sugammadexu u císařského řezu v celkové anestezii – série kazuistik
| Title in English | Active reversal of rocuronium induced neuromuscular blockade with sugammadex admnistration in caesarean section under general anaesthesia - case series |
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| Authors | |
| Year of publication | 2013 |
| Type | Article in Periodical |
| Magazine / Source | Anesteziologie a intenzivní medicína |
| MU Faculty or unit | |
| Citation | |
| Field | Gynaecology and obstetrics |
| Keywords | sugammadex; Caesarean Section; general anaesthesia; neuromuscular blockade; Rapid Sequence Induction |
| Description | Sugammadex is a selective relaxant-binding agent, which reverses rocuronium-induced neuromuscular blocks of any depth. We reported six Caesarean section cases, undergoing general anaesthesia with propofol (1,6 – 2,3 mg/kg) or thiopental (4,1 - 5,6 mg/kg) and rocuronium (0,8 - 1,1 mg/kg) or sukcinylcholin (1,0 – 1,5 mg/kg) for induction of neuromuscular blockade. For maintaining of neromuscular blockade rocuronium (0,4 - 0,5 mg/kg) was used. At the end of the procedure, all patients had a significant degree of neuromuscular block. In one patient, there was no single twitch response and no TOF ratio, three patients had shallow neuromuscular blockade (TOF > 1) and two of them had no clinical signs of neuromuscular recovery (no TOF monitoring). The uniform dose of sugammadex 200 mg (1,7 – 3,2 mg/kg) was given. In all patients, sugammadex provided rapid and sufficient reversal to full muscle strenght. All patients were monitored after operation, and no signs of recurarization occurred in any patient and no signs of neuromuscular weakness were observed. |