RESIDUAL NEUROMUSCULAR BLOCKADE IN A PATIENT WITH ASPERGILLUS INDUCED ENDOCARDITIS IN PROSTHETIC AORTIC VALVE AND RENAL DYSFUNCTION

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HEYDARPOUR A.; AZAIFARIN R.; HASHEMI S.M.

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Paper Information

Journal: JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE Year:2002 | Volume:22 | Issue:37 Page(s): 53-56

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Title

RESIDUAL NEUROMUSCULAR BLOCKADE IN A PATIENT WITH ASPERGILLUS INDUCED ENDOCARDITIS IN PROSTHETIC AORTIC VALVE AND RENAL DYSFUNCTION

Author(s)

HEYDARPOUR A. | AZAIFARIN R. | HASHEMI S.M. | Issue Writer Certificate

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Abstract

Residual neuromuscular blockade is a risk factor for long intubation and mechanical ventilation and pulmonary complication after cardiac surgery. The patient was a 32 years old women with aspergillus induced endocarditis and mobile vegetation on prosthetic aortic valve that candidate to surgical removal of vegetation. Eight hour after operation the patient emerged from anesthesia and complained about inability to move his hands and feet. On physical examination the patient had symmetric motor weakness in upper and lower extremities without any sensory or other neurological deficit. After ruling out other causes of muscular weakness we administered neostigmine 2.5mg and atropine 1.25 mg that reversed the patient's muscular weakness and she was weaned from ventilator and extubated next morning after surgery. Pancuronium has the highest incidence of residual neuromuscular blokade amongst nondeplarizing neuromuscular blocking agents. In addition this patient had blood urea nitrogen = 32 mg/dl and creatinin = 1.9 mg/dl and received gentamcin before surgery and also she received pancuronium 8mg as intubating dose and 2.1 mg/h as maintenance during operation (total dose of 24mg). Thus in conclusion the residual neuromuscular blockade was not unlikely in this patient.

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APA: Copy

HEYDARPOUR, A., AZAIFARIN, R., & HASHEMI, S.M.. (2002). RESIDUAL NEUROMUSCULAR BLOCKADE IN A PATIENT WITH ASPERGILLUS INDUCED ENDOCARDITIS IN PROSTHETIC AORTIC VALVE AND RENAL DYSFUNCTION. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, 22(37), 53-56. SID. https://sid.ir/paper/63465/en

Vancouver: Copy

HEYDARPOUR A., AZAIFARIN R., HASHEMI S.M.. RESIDUAL NEUROMUSCULAR BLOCKADE IN A PATIENT WITH ASPERGILLUS INDUCED ENDOCARDITIS IN PROSTHETIC AORTIC VALVE AND RENAL DYSFUNCTION. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE[Internet]. 2002;22(37):53-56. Available from: https://sid.ir/paper/63465/en

IEEE: Copy

A. HEYDARPOUR, R. AZAIFARIN, and S.M. HASHEMI, “RESIDUAL NEUROMUSCULAR BLOCKADE IN A PATIENT WITH ASPERGILLUS INDUCED ENDOCARDITIS IN PROSTHETIC AORTIC VALVE AND RENAL DYSFUNCTION,” JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, vol. 22, no. 37, pp. 53–56, 2002, [Online]. Available: https://sid.ir/paper/63465/en

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