|
KMID : 0352120160310010049
|
|
Journal of Kyung Hee University
2016 Volume.31 No. 1 p.49 ~ p.53
|
|
|
Sugammadex in a Patient with Morbid Obesity Undergoing General Anesthesia for Caesarean Section - A Case Report -
|
|
Oh You-Na
Kim Kyo-Sang
Yoon Sung-Ryul
Kim Keon-Sik
|
|
|
Abstract
|
|
|
|
Morbid obesity in a pregnancy is a great challenge to medical practice especially when the patient requires Caesarean section. A 38-year-old primigravida (127.5 kg, 164 cm, BMI 47.4 kg/m2) with fetal breech presentation was scheduled Caesarean section at 39-week gestation. After informed consent, anesthesia was induced in rapid sequence with propofol and rocuronium (1 mg/kg), which was monitored with train- offour stimulation and bispectral index scale. Intubation was performed using Pentax-AWS® video laryngoscope, and anesthesia was maintained with sevoflurane and remifentanil. When the operation was over, the patient was extubated at TOF ratio 0.98 after reversal with sugammadex (2 mg/kg). We report sugammadex is a quick, safe, and effective reversal of rocuroniuminduced neuromuscular block in morbidly obese paturient during Caesarean section under general anesthesia.
|
|
|
KEYWORD
|
|
|
Caesarean section, General anesthesia, Morbid obesity, Sugammadex
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
|
|