Cardiac arrest following reversal of muscle relaxation by pyridostigmine: A case report
Anesthesia and Pain Medicine
; : 205-208, 2014.
Article
em En
| WPRIM
| ID: wpr-165332
Biblioteca responsável:
WPRO
ABSTRACT
The anticholinesterase pyridostigmine is usually used as a reversal agent of non-depolarizing muscle relaxants in general anesthesia. Most adverse muscarinic effects of anticholinesterases are controlled by anticholinergics; however, there is still a potential for fatal cardiac complications. We report a case of cardiac arrest associated with coronary vasospasm that developed during emergence from general anesthesia in a 61-year-old male patient undergoing uvulopalatopharyngoplasty with preoperatively undiagnosed coronary vasospastic angina. Anticholinesterases should be administered with caution for neuromuscular blockade reversal, especially in patients with coronary vasospastic angina.
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Texto completo:
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Índice:
WPRIM
Assunto principal:
Brometo de Piridostigmina
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Inibidores da Colinesterase
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Fármacos Neuromusculares não Despolarizantes
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Antagonistas Colinérgicos
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Colinérgicos
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Bloqueio Neuromuscular
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Vasoespasmo Coronário
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Parada Cardíaca
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Anestesia Geral
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Relaxamento Muscular
Limite:
Humans
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Male
Idioma:
En
Revista:
Anesthesia and Pain Medicine
Ano de publicação:
2014
Tipo de documento:
Article