查詢結果分析
相關文獻
- Severe Bradycardia Induced by Neostigmme Administration in a Patient Receiving Labetalol to Control Intraoperative Hypertension
- Anesthetic Management of a Parturient with Eisenmenger's Syndrome and Preeclampsia during Cesarean Section--A Case Report
- Combination of Bupivacaine Scalp Circuit Infiltration with General Anesthesia to Control the Hemodynamic Response in Craniotomy Patients
- Alternation of One-lung and Two-lung Ventilations with the Same Single-lumen Endobronchial Tube during Thoracoscopic Surgery--A Case Report
- The Anesthetic Management of A Preterm Infant Weighing 500 Grams Undergoing Ligation of Patent Ductus Arteriosus--A Case Report
- Children with Mucopolysaccharidoses--Three Cases Report
- Postoperative Right Atrial and Pulmonary Embolism after Prolonged Spinal Surgery
- Airway Obstruction in General Anesthesia--Two Different Episodes in the Same Patient: Case Report
- 全身麻醉下的牙科治療
- Anesthetic Management of the Patients with Giant Mediastinal Tumors--A Report of Two Cases
頁籤選單縮合
題 名 | Severe Bradycardia Induced by Neostigmme Administration in a Patient Receiving Labetalol to Control Intraoperative Hypertension=術中使用Labetalol控制高血壓的病人,在使用Neostigmine後產生嚴重心律過慢之病例報告 |
---|---|
作 者 | 陳家瑩; 徐永偉; 劉孟琦; 黃俊仁; 陳建全; | 書刊名 | 中華民國急救加護醫學會雜誌 |
卷 期 | 17:2 民95.06 |
頁 次 | 頁66-70 |
分類號 | 418.224 |
關鍵詞 | 心律過慢; 全身麻醉; Neostigmine; Labetalol; Bradycardia; General anesthesia; |
語 文 | 英文(English) |
中文摘要 | Neostigmine 被廣泛使用在拮抗非去極化肌肉鬆弛劑,然而因其也作用在副交感神經支配的器官,因此也會產生包括腹痛,唾液過多,嘔吐以及心律過慢等副作用。其所造成的嚴重心律過慢已經在包括心肺移植的病人及使用propranolol或nadolol的病人都被報告過。我們提出一個病例報告,描述一個因為使用 labetalol控制術中高血壓,同時又因為外科需要而在拔除氣管內管後又重新置入氣管內管的病人,在重複neostigmine 給予後,產生嚴重心律過慢的病例,以提醒大家neostigmine 與較大量labetalol同時使用時,可能會造成嚴重心律過慢的現象。 |
英文摘要 | Neostigmine is widely used for the reversal of nondepolarizing neuromuscular blocking (NMB) agents.Administration of neostigmine may result in the activation of a parasympathetic response in target organs that may cause a variety of inadvertent reactions, including abdominal pain, excess salivation, vomiting,and bradycardia(1-3). Severe bradycardia induced by neostigmine administration has been reported in patients that received β-adrenergic receptor antagonists, such as propranolol(4), or nadolol(5). In this case report, we described the development of severe bradycardia after the administration of neostigmine in a patient receiving labetalol for the treatment of intraoperative hypertension. The results of this case suggest that labetalol may interact with neostigmine to cause severe bradycardia especially when large doses of neostigmine and labetalol were used. Caution should be used when neostigmine is administered to reverse nondepolarizing NMB agents in patients receiving β-adrenergic antagonists. |
本系統中英文摘要資訊取自各篇刊載內容。