期刊
A & A CASE REPORTS
卷 1, 期 3, 页码 43-45出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/ACC.0b013e3182953053
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We present a patient with myasthenia gravis in whom sugammadex failed to restore the trainof-four ratio (TOFR) sufficiently. When the patient's TOFR count had recovered to 2, we administered 2 mg/kg of sugammadex. However, the TOFR did not recover to the preoperative value. An additional 2 mg/kg of sugammadex also had no effect. We then administered 30 mu g/kg of neostigmine which restored the TOFR to more than the preoperative value. We speculate that exacerbation of myasthenia symptoms during surgery interfered with recovery of TOFR after sugammadex administration.
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