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題 名 | Rocuronium-Induced Generalized Spontaneous Movements Cause Pulmonary Aspiration=注射安心麻儂誘發之躁動引起吸入性肺炎 |
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作 者 | 劉錦棠; 黃世仁; 楊靖宇; 徐至清; 呂炳榮; | 書刊名 | 長庚醫學 |
卷 期 | 25:9 2002.09[民91.09] |
頁 次 | 頁617-620 |
分類號 | 416.5 |
關鍵詞 | 安心麻儂; 躁動; 疼痛; 併發症; 吸入性肺炎; 快速誘導; Rocuronium; Movements; Pain; Complication; Aspiration; Rapid-sequence induction; |
語 文 | 英文(English) |
中文摘要 | 針對胃排空時間不足之病患,施行麻醉時,經常會使用到環狀軟骨壓迫法合併快速誘導麻醉。但若於麻醉誘導期間,任何使病患引起躁動之因素可能會改變環狀軟骨上的壓力和方向,甚至增加胃內壓而引發胃內容物之逆流,而導致吸入性肺炎。我們報告一例,五歲女童因骨折而安排緊急手術。於麻醉誘導期間,由於靜脈注射安心麻儂後引起的疼痛誘發之噪動,導致吸入性肺炎的病例。 |
英文摘要 | Rapid-sequence induction with cricoid pressure is a standard procedure for inducing anesthesia in patients with a potentially full stomach. During the induction period, if the patient develops generalized movements of the body, the pressure level of the cricoid may change unexpectedly. As a result, the increase in intragastric pressure may cause gastric regurgitation and consequent pulmonary aspiration. Rocuronium has been widely used as an alternative to succinylchline during the induction of anesthesia. However, most patients who received rocuronium complained of severe burning pain in their arm during intravenous injection. Even after the administration of the induction agents, rocuronium injection can also cause withdrawal of the hand or other generalized movements of the body. We describe a case of gastric regurgitation with pulmonary aspiration following generalized spontaneous movements associated with rocuronium injection in a girl who received pediatric emergent surgery. |
本系統中英文摘要資訊取自各篇刊載內容。