Yamazaki Yutaka, Saito Atsushi, Takahashi Hiromu
Department of Anesthesia, Yuri Kumiai General Hospital, Yurihonjo 015-8511.
Masui. 2011 Feb;60(2):199-202.
A 59-year-old man with chronic renal failure underwent the ascending colectomy. After administration of neostigmine 2 mg, his postoperative neuromuscular recovery was good. The second laparotomy was undertaken one hour after extubation because gauze was left in his abdomen. Fifty minutes after intubation using rocuronium 40 mg (0.6 mg x kg(-1)), neostigmine 4 mg (0.06 mg x kg(-1)) was administrated. But we failed to reverse neuromuscular blockade and the patient fell into respiratory depression. After a chain of two operations, the administration of neostigmine in second operation requires circumspection when the effect of neostigmine administrated in the first operation is continuing, because the proper evaluation of residual neuromuscular blockade is difficult.
一名59岁的慢性肾衰竭男性接受了升结肠切除术。给予新斯的明2毫克后，他术后神经肌肉恢复良好。拔管一小时后进行了第二次剖腹手术，因为有纱布遗留在他的腹部。使用罗库溴铵40毫克（0.6毫克/千克）插管50分钟后，给予新斯的明4毫克（0.06毫克/千克）。但我们未能逆转神经肌肉阻滞，患者陷入呼吸抑制。经过连续两次手术，当第一次手术中使用的新斯的明效果仍在持续时，第二次手术中使用新斯的明需要谨慎，因为难以正确评估残余神经肌肉阻滞情况。
