Kim Kyung Woo, Kim Seung Hwan, Ahn Eun Jin, Kim Hyo Jin, Choi Hey Ran, Bang Si Ra
Department of Anesthesiology and Pain Medicine, Inje University Seoul Paik Hospital, Seoul, Korea.
SAGE Open Med Case Rep. 2020 Jun 3;8:2050313X20927616. doi: 10.1177/2050313X20927616. eCollection 2020.
Prader-Willi syndrome is a genetic disorder that is characterized by obesity, characteristic facial features, hypotonia, and sleep apnea. These abnormalities mean that airway management is difficult in such patients. Several previous reports suggest that neuromuscular blocking agents should not be used to reduce airway and respiratory complications in these patients. However, this is not always possible. Here, we report the case of a patient with Prader-Willi syndrome in whom anesthesia for ophthalmic surgery was managed successfully using sugammadex after administration of rocuronium.
普拉德-威利综合征是一种遗传性疾病，其特征为肥胖、特殊面容、肌张力减退和睡眠呼吸暂停。这些异常情况意味着此类患者的气道管理具有挑战性。此前有几份报告表明，不应使用神经肌肉阻滞剂来减少这些患者的气道和呼吸并发症。然而，这并非总是可行的。在此，我们报告一例普拉德-威利综合征患者的病例，该患者在使用罗库溴铵后，通过舒更葡糖成功实施了眼科手术麻醉。
