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Successful Extubation and Uneventful Recovery from General Anesthesia using Sugammadex in a Patient with Myotonic Dystrophy

경희의학 2019년 34권 1호 p.26 ~ 30
 ( Park Jong-Hee ) - Hallym University School of Medicine Kangnam Sacred Heart Hospital Department of Anesthesiology and Pain Medicine

김현철 ( Kim Hyun-Chul ) - Hallym University School of Medicine Kangnam Sacred Heart Hospital Department of Anesthesiology and Pain Medicine
고용국 ( Ko Yong-Kuk ) - Hallym University School of Medicine Kangnam Sacred Heart Hospital Department of Anesthesiology and Pain Medicine
김민수 ( Kim Min-Soo ) - Hallym University Graduate School Department of Medical Sciences
김정은 ( Kim Jung-Eun ) - Hallym University School of Medicine Kangnam Sacred Heart Hospital Department of Anesthesiology and Pain Medicine
 ( Chung Mi-Hwa ) - Hallym University School of Medicine Kangnam Sacred Heart Hospital Department of Anesthesiology and Pain Medicine
 ( Choi Eun-Mi ) - Hallym University School of Medicine Kangnam Sacred Heart Hospital Department of Anesthesiology and Pain Medicine

Abstract


Myotonic dystrophy is an autosomal dominant inherited disorder characterized by progressive muscle weakness and myotonia. Anesthesiologists face challenges during perioperative care of patients with myotonic dystrophy as they are sensitive to sedatives, inhalational anesthetics, and non-depolarizing neuromuscular blocking drugs. Reversal with acetylcholinesterase inhibitors from neuromuscular blockade is contraindicated as it may potentiate myotonia. Thus, we report a case of successful extubation and uneventful recovery from general anesthesia using sugammadex under neuromuscular function monitoring in a patient with myotonic dystrophy undergoing laparoscopic total hysterectomy.

키워드

Myotonic dystrophy; Neuromuscular bloc-kade; Rocuronium; Sugammadex
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