Janis K, Hess J, Fabian J A, Gillis M
Anesthesiology Service, Veterans Administration Medical Centre, Albuquerque, NM, USA.
Can J Anaesth. 1995 Jul;42(7):612-3. doi: 10.1007/BF03011879.
Three cases are reported where pre-existing medical conditions (severe osteoporosis, amyotrophic lateral sclerosis, cardiac arrhythmias) made the administration of succinylcholine during ECT potentially dangerous. Therefore, mivacurium was substituted as the muscle relaxant necessary for safe therapy. Full reversal of the non-depolarizing muscle relaxant was assured by post-reversal use of the peripheral nerve stimulator with full recovery of train-of-four response.
报告了3例既往存在的医疗状况（严重骨质疏松症、肌萎缩侧索硬化症、心律失常）使在ECT期间使用琥珀酰胆碱具有潜在危险性的病例。因此，米库氯铵被用作安全治疗所需的肌肉松弛剂。通过使用外周神经刺激器进行逆转后使用并使四个成串刺激反应完全恢复，确保了非去极化肌肉松弛剂的完全逆转。
