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首页> 外文期刊>International journal of obstetric anesthesia >Maternal respiratory distress and successful reversal with sugammadex during intrauterine transfusion with fetal paralysis
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Maternal respiratory distress and successful reversal with sugammadex during intrauterine transfusion with fetal paralysis

机译：胎儿瘫痪期间，孕产妇呼吸窘迫和成功逆转胎儿输血期间

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A 70 kg, 34-year-old woman at 29 weeks-of-gestation required intrauterine transfusion for Rh (D) alloimmunization. In the ambulatory treatment clinic, 19 mg of rocuronium was administered intramuscularly in split doses into the fetal buttock. The fetus moved and inadvertent maternal neuromuscular blockade occurred, leading to respiratory distress. The patient was transferred to the operating room where she had poor muscle tone, dyspnea and dysphonia. Sugammadex 100 mg was administered intravenously and complete resolution of neuromuscular blockade was demonstrated using a Neuromuscular Transmission? monitor. When neuromuscular blocking agents are administered in ambulatory settings, management protocols, reversal agents, and skilled assistance should be immediately available for managing potentially life-threatening complications.
机译：在29周的妊娠中，70公斤，34岁的女性需要宫内输注进行RH（d）同种异体。 在动态治疗诊所中，将19毫克罗瓜鎓肌肉内施用，分裂剂量进入胎儿臀部。 胎儿移动和无意中发生了母体神经肌肉封闭，导致呼吸窘迫。 患者被转移到手术室，在那里她患有较差的肌肉，呼吸困难，呼吸困难和呼吸困难。 使用神经肌肉传递证明Sugammadex 100mg静脉内施用，并通过神经肌肉传递证明了神经肌肉阻滞的分辨率？ 监视器。 当神经肌肉阻断剂在动态环境中施用时，应立即立即立即用于管理潜在的生命危及生命的并发症。

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