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Colegio de Medicos y Cirujanos República de Costa Rica

2011, Number 598

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Rev Med Cos Cen 2011; 68 (598)

Recurarización en la sala de recuperación

Bolaños M, Li A

Language: Spanish
References: 10
Page: 377-380
PDF size: 210.91 Kb.


ABSTRACT

Recurarization is an event that consists on residual neuromuscular relaxation in the immediate post-operative. In studies made in France, Belgium and the north of Ireland the incidence of this event is between 30 and 65% in adult patients. In Costa Rica the incidence is unknown, though between the years 2006 and 2010 there was a report of 32 complications and only one case consisted in a recurarization event, which happened in the recovery room in the National Children’s Hospital. This case occurred in an 8 months old baby, with Down Syndrome. This article will focus on the analysis of this particular case.


REFERENCES

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  2. Baillard et al.Residual curarization in the recovery room after vecuronium. British journal of Anesthesia 84 (3)394-5 (2000) C.

  3. British journal of anesthesia. Is it always necessary to antagonize residual neuromuscular block. Do children differ from adults. Editorial II. 1996; 77: 707-709

  4. Cristina Simões de Almeida et al Revista Brasileira de Anestesiología. Avaliação do bloqueio neuromuscular residual e da recurarização tardia na sala de recuperação pos-anestésica. . 2004; 54:4: 518-531.

  5. C. Mc Caul Atracurium associated with postoperative residual curarization., Britich Journal of Anesthesia 84 (5) 766-769 (2009).

  6. James R. Mc Klveen et al. Anesthesiology Absence of recurarization upon rewarming. v 38, No2 Feb 1973.

  7. Kovac AL. Sugammadez: the first selective binding reversal agent for neuromuscular block. Journal of clinical Anesthesia (2009) 21, 444-4538

  8. Lee C, Mok MS, Barnes A and Katz RL. Absence of “recurarization” in patientes with demonstrated prolonged neuromuscular block. Br. J. Anaesth. (1977), 49,485

  9. Murphy GS, Brull SJ. Anesthesia Analgesia. Residual neuromuscular block: lessons unlearned. Part I: definitions, incidence and adverse physiologic effects of residual neuromuscular block. (2010); 111:120-8

  10. W.J.Fawset et al. Recurarization in the recovery room following the use of magnesium sulfate. British journal of anesthesia, 91 (3) 435-8 (2003).




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