Cardiac arrest after neuromuscular blockade reversal in a heart transplant infant.
Cardiac arrest after neuromuscular blockade reversal in a heart transplant infant.
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DOI：
10.1097/01.anes.0000282140.68060.fa
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发表时间：
2007-10
期刊：
影响因子：
8.8
通讯作者：
Prasert Sawasdiwipachai;P. Laussen;F. McGowan;L. Smoot;A. Casta
中科院分区：
文献类型：
--
作者：
Prasert Sawasdiwipachai;P. Laussen;F. McGowan;L. Smoot;A. Casta
心脏移植受者的心律失常和传导异常可能是急性和慢性排斥反应的迹象，也可能是冠状动脉疾病的迹象。1，2我们报告一例13个月大，体重7.5公斤的心脏移植患者，最近出现呼吸急促，外周血流灌注减少，以及非持续性室性心动过速，在全身气管内麻醉期间接受了心内膜心肌活检以排除排斥反应后，应用新斯的明和葡萄糖苷后发生心脏骤停。
ARRHYTHMIAS and conduction abnormalities in heart transplant recipients can be signs of acute and chronic rejection, as well as of coronary artery disease. 1,2 Here, we report a 13-month-old, 7.5-kg heart transplant recip-ient with recent onset of tachypnea, decreased peripheral perfusion, and nonsustained ventricular tachycardia who developed cardiac arrest following administration of neostigmine and glycopyrrolate after undergoing an uneventful endomyocardial biopsy during general endotracheal anesthesia to exclude rejection.