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KMID : 1155520160110040380
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Anesthesia and Pain Medicine
2016 Volume.11 No. 4 p.380 ~ p.383
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Late recurarization in the post-anesthetic care unit after total thyroidectomy - A case report -
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Kim Dong-Wook
Kim Bo-Kyeom
Kim Joo-Won
Kim Ju-Deok
Ryu Sie-Jeong
Kim Doo-Sik
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Abstract
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Residual paralysis, recurarization is defined as a remnant effect of neuromuscular blocking after surgery that can cause postoperative complications. Clinical complications of recurarization include dyspnea, gastric content aspiration, and atelectasis. Therefore, complete recovery of muscle strength at the end of surgery is a significant factor for patient safety. We report a case of a 53-year-old woman who presented with residual paralysis after total thyroidectomy. To improve her condition, we injected sugammadex intravenously in the post-anesthetic care unit. After that, we observed her for 1 hour and her muscle strength gradually recovered. She did not have any symptoms on the next day and was discharged on the 5th post-operative day.
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KEYWORD
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Neuromuscular blocking agents, Neuromuscular monitoring, Sugammadex, Train-of-four monitoring
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