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KMID : 1155520140090030205
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Anesthesia and Pain Medicine
2014 Volume.9 No. 3 p.205 ~ p.208
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Cardiac arrest following reversal of muscle relaxation by pyridostigmine - A case report -
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Jo Jun-Young
Yi Jung-Min
Lee Yoon-Kyung
Ku Seung-Woo
Park Pyung-Hwan
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Abstract
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The anticholinesterase pyridostigmine is usually used as a reversal agent of non-depolarizing muscle relaxants in general anesthesia. Most adverse muscarinic effects of anticholinesterases are controlled by anticholinergics; however, there is still a potential for fatal cardiac complications. We report a case of cardiac arrest associated with coronary vasospasm that developed during emergence from general anesthesia in a 61-year-old male patient undergoing uvulopalatopharyngoplasty with preoperatively undiagnosed coronary vasospastic angina. Anticholinesterases should be administered with caution for neuromuscular blockade reversal, especially in patients with coronary vasospastic angina.
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KEYWORD
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Cardiac arrest, Coronary spasm, Pyridostigmine, Reversal of neuromuscular block
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