A CASE REPORT OF CHOLINERGIC SYNDROME AN UNUSUAL COMPLICATION OF NEOSTIGMINE ADMINISTRATION

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HOSSEINKHAN ZAHED; MAJEDI H.

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Paper Information

Journal: JOURNAL OF BABOL UNIVERSITY OF MEDICAL SCIENCES (JBUMS) Year:2002 | Volume:4 | Issue:3 (15) Page(s): 67-72

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Title

A CASE REPORT OF CHOLINERGIC SYNDROME AN UNUSUAL COMPLICATION OF NEOSTIGMINE ADMINISTRATION

Author(s)

HOSSEINKHAN ZAHED | MAJEDI H. | Issue Writer Certificate

Keywords

CHOLINERGIC DRUGSQ4

CHOLINESTERASE INHIBITORSQ3

AWARENESSQ4

DRUG INTERACTIONQ4

NEOSTIGMINEQ4

Abstract

BACKGROUND AND OBJECTIVE: Cholinergic syndrome (cholinergic crisis) is an extremely dangerous complication of anticholinesterase drugs such as NEOSTIGMINE. Isolated forearm technique (I.F.T) with IV injection of NEOSTIGMINE is used for the evaluation of AWARENESS which is an deliberate problem in narcotic based anesthesia. This method is used for evaluation of ischemia of the anterior spinal artery and weakness of upper extremity motor after operation of cervical spines.CASE: The case was a 43 year old woman with dislocated C1- C2 fracture who was candidated for cervical spines surgery. After I.F.T, induction of anesthesia and tracheal intubation (muscarinic and nicotinic) cholinergic symptoms of crisis were developed that the cause of this presentation was I.F.T with injection of NEOSTIGMINE. CONCLUSION: Since, the evaluation of AWARENESS is not so predictable by I.F.T procedure, it is recommended to use other modern techniques such as bispectral index, nerve stimulators and evoked potentials.

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APA: Copy

HOSSEINKHAN, ZAHED, & MAJEDI, H.. (2002). A CASE REPORT OF CHOLINERGIC SYNDROME AN UNUSUAL COMPLICATION OF NEOSTIGMINE ADMINISTRATION. JOURNAL OF BABOL UNIVERSITY OF MEDICAL SCIENCES (JBUMS), 4(3 (15)), 67-72. SID. https://sid.ir/paper/73718/en

Vancouver: Copy

HOSSEINKHAN ZAHED, MAJEDI H.. A CASE REPORT OF CHOLINERGIC SYNDROME AN UNUSUAL COMPLICATION OF NEOSTIGMINE ADMINISTRATION. JOURNAL OF BABOL UNIVERSITY OF MEDICAL SCIENCES (JBUMS)[Internet]. 2002;4(3 (15)):67-72. Available from: https://sid.ir/paper/73718/en

IEEE: Copy

ZAHED HOSSEINKHAN, and H. MAJEDI, “A CASE REPORT OF CHOLINERGIC SYNDROME AN UNUSUAL COMPLICATION OF NEOSTIGMINE ADMINISTRATION,” JOURNAL OF BABOL UNIVERSITY OF MEDICAL SCIENCES (JBUMS), vol. 4, no. 3 (15), pp. 67–72, 2002, [Online]. Available: https://sid.ir/paper/73718/en

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