Home > Riviste > Minerva Anestesiologica > Fascicoli precedenti > Minerva Anestesiologica 2009 May;75(5) > Minerva Anestesiologica 2009 May;75(5):349-51

ULTIMO FASCICOLO
 

JOURNAL TOOLS

eTOC
Per abbonarsi
Sottometti un articolo
Segnala alla tua biblioteca
 

ARTICLE TOOLS

Estratti
Permessi

 

REVIEW ARTICLES   Freefree

Minerva Anestesiologica 2009 May;75(5):349-51

Copyright © 2009 EDIZIONI MINERVA MEDICA

lingua: Inglese

A novel approach to reversal of neuromuscular blockade

Della Rocca G., Pompei L.

Department of Anesthesia and Intensive Care Medicine, S. Maria della Misericordia University Hospital, University of Udine. Udine, Italy


PDF


Postoperative residual curarization is still a problem of the modern anesthesia. Neostigmine is not the safest drug that allows a safe decurarization, especially when neuromuscular transmission monitoring is not used. Sugammadex is a Á-cyclodextrin designed to encapsulate rocuronium bromide, providing a rapid reversal of neuromuscular blockade. It has not cardiovascular, respiratory and cholinergic effects. It has been used in renally impaired patients with no neuromuscular blockade recurrence. Sugammadex reverses either a shallow or a deep neuromuscular block. Volatile agents such as sevoflurane seems not to influence the sugammadex ability to reverse the rocuronium neuromuscular blockade. There is no difference in the sugammadex pharmacokinetic in children and adults. Sugammadex would be able to have a role in the future in reversing a non depolarizing steroidal neuromuscular block.

inizio pagina