Takazawa Tomonori, Suto Takashi, Aihara Masako, Anzai Takeshi, Horiuchi Tatsuo, Yamada Makiko H, Kadoi Yuji, Saito Shigeru
Department of Anesthesiology, Gunma University Graduate School of Medicine, 3-39-22 Showa-machi, Maebashi, 371-8511 Japan.
Department of Psychiatry, Gunma Prefectural Psychiatric Medical Center, 2-2374 Kunisada-machi, Isesaki, 379-2221 Japan.
JA Clin Rep. 2015;1(1):7. doi: 10.1186/s40981-015-0009-2. Epub 2015 Aug 27.
We report here the anesthetic management of a patient with schizophrenia and pseudocholinesterase deficiency. Electroconvulsive therapy was performed using succinylcholine and rocuronium as the neuromuscular blocking agents in the first seven and latter six treatments, respectively. The recovery time from muscle relaxation after succinylcholine administration was remarkably longer than that after rocuronium-sugammadex administration. Rocuronium and sugammadex appear to be useful in situations in which succinylcholine is contraindicated.
我们在此报告一名患有精神分裂症和假性胆碱酯酶缺乏症患者的麻醉管理情况。在前七次治疗中分别使用琥珀酰胆碱和罗库溴铵作为神经肌肉阻滞剂进行电休克治疗，在后六次治疗中分别使用罗库溴铵和舒更葡糖进行电休克治疗。琥珀酰胆碱给药后肌肉松弛的恢复时间明显长于罗库溴铵 - 舒更葡糖给药后的恢复时间。在琥珀酰胆碱禁忌的情况下，罗库溴铵和舒更葡糖似乎是有用的。
