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接受神经肌肉阻滞剂后出现长时间瘫痪和呼吸暂停:护士应该知道的事。

Prolonged paralysis and apnea after receiving a neuromuscular blocking agent: what nurses should know.

机构信息

Department of Anesthesia at Kaiser Permanente Medical Center, San Jose, California, USA.

出版信息

Am J Crit Care. 2009 Nov;18(6):592, 588-91. doi: 10.4037/ajcc2009572.

Abstract

After receiving mivacurium, a short-acting neuromuscular blocking agent used for intubation before surgery, a patient experienced prolonged paralysis and prolonged apnea that required ventilator support. Although this complication is rare, all critical care nurses should be aware of it so they can be competent in managing and providing holistic and comprehensive nursing care to the patient and the patient's family. Although this complication has been documented in the anesthesia literature, it has received little mention in critical care nursing journals.

摘要

患者在手术前接受用于插管的短效神经肌肉阻滞剂米库氯铵后,出现了长时间的瘫痪和长时间的呼吸暂停,需要呼吸机支持。尽管这种并发症很少见,但所有重症监护护士都应该知道,以便能够胜任管理和为患者及其家属提供全面和综合的护理。尽管这种并发症在麻醉文献中有记载,但在重症监护护理期刊中很少提及。

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