Late recurarization in the post-anesthetic care unit after total thyroidectomy: A case report.
10.17085/apm.2016.11.4.380
- Author:
Dong Wook KIM
1
;
Bo Kyeom KIM
;
Joo Won KIM
;
Ju Deok KIM
;
Sie Jeong RYU
;
Doo Sik KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Kosin University College of Medicine, Busan, Korea. kds0728md@gmail.com
- Publication Type:Case Report
- Keywords:
Neuromuscular blocking agents;
Neuromuscular monitoring;
Sugammadex;
Train-of-four monitoring
- MeSH:
Dyspnea;
Female;
Humans;
Middle Aged;
Muscle Strength;
Neuromuscular Blockade;
Neuromuscular Blocking Agents;
Neuromuscular Monitoring;
Paralysis;
Patient Safety;
Postoperative Complications;
Pulmonary Atelectasis;
Thyroidectomy*
- From:Anesthesia and Pain Medicine
2016;11(4):380-383
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Residual paralysis, recurarization is defined as a remnant effect of neuromuscular blocking after surgery that can cause postoperative complications. Clinical complications of recurarization include dyspnea, gastric content aspiration, and atelectasis. Therefore, complete recovery of muscle strength at the end of surgery is a significant factor for patient safety. We report a case of a 53-year-old woman who presented with residual paralysis after total thyroidectomy. To improve her condition, we injected sugammadex intravenously in the post-anesthetic care unit. After that, we observed her for 1 hour and her muscle strength gradually recovered. She did not have any symptoms on the next day and was discharged on the 5th post-operative day.
