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| 標題: | Sugammadex induced bradycardia and hypotension A case report and literature review |
| 作者: | Teng, I-Chia
Chang, Ying-Jen
Lin, Yao-Tsung
Chu, Chin-Chen
Chen, Jen-Yin
Wu, Zhi-Fu |
| 貢獻者: | Chi Mei Med Ctr, Dept Anesthesiol
Chia Nan Univ Pharm & Sci, Dept Food Sci & Technol
Kaohsiung Med Univ, Kaohsiung Med Univ Hosp, Dept Anesthesiol
Tri Serv Gen Hosp
Natl Def Med Ctr, Dept Anesthesiol |
| 關鍵字: | bradycardia
cardiac arrest
hypotension
sugammadex |
| 日期: | 2021 |
| 上傳時間: | 2023-11-11 11:48:52 (UTC+8) |
| 出版者: | LIPPINCOTT WILLIAMS & WILKINS |
| 摘要: | Rationale: There is evidence that sugammadex can facilitate extubation post-surgery and attenuate postoperative pulmonary complications resulting from postoperative residual neuromuscular blockade. However, it may induce adverse effects, including bronchospasm, laryngospasm, bradycardia, hypotension, and cardiac arrest. Here, we present a case of sugammadex-induced bradycardia and hypotension. Patient concerns: An 82-year-old female received video-assisted thoracic surgery decortication and wedge resection of the lung for empyema. Post-surgery, she developed bradycardia, hypotension, hypoxia, and weakness. Diagnoses: The patient was suspected to have sugammadex-induced bradycardia, hypotension, hypoxia and weakness. Interventions: The patient received immediate treatment with atropine (0.5 mg) for bradycardia. Glycopyrrolate (0.1 mg) and neostigmine (1 mg) were administered to improve the train-of-four (TOF) ratio. Outcomes: Following initial management, we observed improvement in the hemodynamics of the patient. She was discharged without any sequelae. Lessons: Sugammadex-induced bradycardia or cardiac arrest are rare; however, anesthesiologists must consider the possibility of the occurrence of such events and initiate appropriate management measures. Immediate treatment with atropine and inotropic or vasopressors is warranted if the patient presents with bradycardia. |
| 關聯: | MEDICINE, v.100, n.30 |
| 顯示於類別: | [ 食品科技系 ] 期刊論文
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