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Discordance between Train-of-Four Response and Clinical Symptoms in a Patient with Amyotrophic Lateral Sclerosis
- Issue Date
- Apr-2014
- Publisher
- OKAYAMA UNIV MED SCHOOL
- Keywords
- amyotrophic lateral sclerosis; train-of-four; sugammadex
- Citation
- ACTA MEDICA OKAYAMA, v.68, no.2, pp.125 - 127
- Journal Title
- ACTA MEDICA OKAYAMA
- Volume
- 68
- Number
- 2
- Start Page
- 125
- End Page
- 127
- ISSN
- 0386-300X
- Abstract
- A 47-year-old woman with amyotrophic lateral sclerosis was scheduled for total thyroidectomy with cervical node dissection. During anesthetic management by total intravenous anesthesia using remifentanil, propofol, and rocuronium, train-of-four (TOF) monitoring findings were not consistent with clinical signs. Sugammadex successfully reversed shallow respiration.
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Related Researcher
- Chang, Young Jin
- College of Medicine (Department of Medicine)