Hélaine L, Le Cocq C, Saadi H, Abdelkrim N, Atti A
Service d'anesthésie, centre hospitalier des Pays-de-Morlaix, 15, rue Kersaint-Gilly, BP 97237, 29672 Morlaix cedex, France.
Service d'anesthésie-réanimation, CHU La Cavale-Blanche, boulevard Tanguy-Prigent, 29609 Brest cedex, France.
Ann Fr Anesth Reanim. 2014 Nov;33(11):587-9. doi: 10.1016/j.annfar.2014.08.003. Epub 2014 Oct 11.
In patients with neuromuscular diseases, the use of rocuronium in the general anesthesia rapid sequence induction provides safety intubation conditions, but induces a deep and prolonged neuromuscular blockade. We report dose reduction to 0.8mg/kg for a 47-year-old female with Landouzy-Dejerine myopathy. Therefore, less dose of sugammadex was given to reverse the neuromuscular block.
在患有神经肌肉疾病的患者中，在全身麻醉快速顺序诱导中使用罗库溴铵可提供安全的插管条件，但会导致深度且持久的神经肌肉阻滞。我们报告了一名47岁患有兰杜齐-德热里纳肌病的女性患者，罗库溴铵剂量减至0.8mg/kg。因此，给予了较少剂量的舒更葡糖钠来逆转神经肌肉阻滞。
