論文

査読有り
2019年12月

Local Anesthetic Systemic Toxicity Following General and Epidural Anesthesia in A patient with a History of Muscle Relaxant-induced Anaphylaxis.

Acta medica Okayama
  • Asuka Kubo
  • ,
  • Kazuyoshi Shimizu
  • ,
  • Kosuke Kuroda
  • ,
  • Tomoyuki Kanazawa
  • ,
  • Motomu Kobayashi
  • ,
  • Hiroshi Morimatsu

73
6
開始ページ
543
終了ページ
546
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.18926/AMO/57721

We here report that a 71-year-old Japanese woman with a history of anaphylaxis induced by muscle relaxants had local anesthetic systemic toxicity (LAST) following an abdominal surgery under general anesthesia with combined spinal-epidural anesthesia without muscle relaxants. The total dosages of local anesthetics reached 0.67 mg/kg of ropivacaine and 11.5 mg/kg of lidocaine over 12.5 h to obtain sufficient muscle relaxation for surgery. Regional anesthesia is useful in cases in which muscle relaxants are to be avoided during a surgery. However, especially for a patient with risk factors and prolonged surgery, precautions should be taken to prevent LAST.

リンク情報
DOI
https://doi.org/10.18926/AMO/57721
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/31871339
ID情報
  • DOI : 10.18926/AMO/57721
  • PubMed ID : 31871339

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