[Neuromuscular blockade monitoring at the corrugator supercilii and ocular myasthenia gravis]. / Myasthénie oculaire et monitorage de la curarisation au muscle sourcilier.
Ann Fr Anesth Reanim
; 22(3): 242-4, 2003 Mar.
Article
en Fr
| MEDLINE
| ID: mdl-12747994
A 67-year-old patient suffering from an ocular myasthenia gravis was scheduled for an elective ENT surgery. General anaesthesia was induced intravenously. Neuromuscular responses after train-of-four stimulation were normal at both the adductor pollicis (T(4)/T(1) = 1) and the corrugator supercilii (4 visual responses). Then cisatracurium (0,15 mg kg(-1)) was administered to allow tracheal intubation. The laryngoscopy attempted 45 s after cisatracurium injection (no response at the supercilii, T(1)/T(0) = 1 at the adductor pollicis) was unsuccessful because of closing and moving vocal cords. The second attempt was successful 4 min after cisatracurium injection (no response at the corrugator supercilii, T(1)/T(0) = 0.05 at the adductor pollicis). Residual neuromuscular blockade was antagonized at the end of surgery (1 h long) allowing an uneventful extubation. We concluded that monitoring neuromuscular blockade at the corrugator supercilii to assess the intubating conditions is not recommended in a case of ocular myasthenia gravis.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Enfermedades del Nervio Oculomotor
/
Bloqueo Neuromuscular
/
Anestesia General
/
Miastenia Gravis
Límite:
Aged
/
Humans
/
Male
Idioma:
Fr
Revista:
Ann Fr Anesth Reanim
Año:
2003
Tipo del documento:
Article
País de afiliación:
Francia
Pais de publicación:
Francia