Anesthesia for Crow-Fukase syndrome patient.
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概要
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One case of 48-year-old female with Crow-Fukase syndrome who received cholecystectomy under general anesthesia was reported. Anesthesia was induced with thiopental and pancuronium bromide and maintained with N2O and ethrane. Blood pressure and heart rate were stable during the surgery. Following the administration of pancuronium (6mg), first twitch(T1) of TOF decreased to 6% of control, but did not disappeare completely. However, the effect of pancuronium was prolonged, and T4/T1 was near 0% for 90min. The neuromuscular blocking action was well antagonized with 50mg of edrophonium. As neurogenic muscle atrophy is a common finding of this syndrome, particular care must be taken with the use of neuromuscular blocking agent, and intensive respiratory care is necessary after surgery.
- 日本臨床麻酔学会の論文
日本臨床麻酔学会 | 論文
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