Nagella Amrutha Bindu, Bijapur Mubina Begum, Shreyavathi Shreyavathi, Rao Raghavendra R S
Department of Anaesthesia and Critical Care, Mahatma Gandhi Medical College & Research Institute, Pondicherry, India.
Department of Anaesthesia & Critical Care, Al-Ameen Medical College, Bijapur, Karnataka, India.
BMJ Case Rep. 2014 Sep 8;2014:bcr2014204992. doi: 10.1136/bcr-2014-204992.
A 1-year-old child with no pre-existing cardiac or respiratory disease developed frank pulmonary oedema after administration of a neostigmine-glycopyrrolate mixture to reverse neuromuscular blockade during general anaesthesia. Possible cardiac and extra-cardiac factors that could cause pulmonary oedema in this child were ruled out by appropriate investigations. As the pulmonary oedema manifested shortly after administration of the neostigmine-glycopyrrolate mixture, we concluded that neostigmine was the most probable cause. This article briefly reports the occurrence of events and successful management of perioperative pulmonary oedema.
一名1岁儿童，既往无心脏或呼吸系统疾病，在全身麻醉期间使用新斯的明-格隆溴铵混合物逆转神经肌肉阻滞作用后，出现了明显的肺水肿。通过适当的检查排除了该儿童可能导致肺水肿的心脏和心外因素。由于肺水肿在给予新斯的明-格隆溴铵混合物后不久就出现了，我们得出结论，新斯的明是最可能的病因。本文简要报告了围手术期肺水肿事件的发生及成功处理情况。
