Maternal respiratory distress and successful reversal with sugammadex during intrauterine transfusion with fetal paralysis.
Int J Obstet Anesth
; 39: 129-131, 2019 08.
Article
em En
| MEDLINE
| ID: mdl-30770210
ABSTRACT
A 70â¯kg, 34-year-old woman at 29â¯weeks-of-gestation required intrauterine transfusion for Rh (D) alloimmunization. In the ambulatory treatment clinic, 19â¯mg of rocuronium was administered intramuscularly in split doses into the fetal buttock. The fetus moved and inadvertent maternal neuromuscular blockade occurred, leading to respiratory distress. The patient was transferred to the operating room where she had poor muscle tone, dyspnea and dysphonia. Sugammadex 100â¯mg was administered intravenously and complete resolution of neuromuscular blockade was demonstrated using a Neuromuscular Transmission™ monitor. When neuromuscular blocking agents are administered in ambulatory settings, management protocols, reversal agents, and skilled assistance should be immediately available for managing potentially life-threatening complications.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Síndrome do Desconforto Respiratório
/
Transfusão de Sangue Intrauterina
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Bloqueio Neuromuscular
/
Sugammadex
Tipo de estudo:
Etiology_studies
/
Guideline
Limite:
Adult
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Female
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Humans
Idioma:
En
Revista:
Int J Obstet Anesth
Assunto da revista:
ANESTESIOLOGIA
/
OBSTETRICIA
Ano de publicação:
2019
Tipo de documento:
Article