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Miscellaneous (20)

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Abstract #50616 Published in IGR 14-2

Immediate cardiac arrest after neostigmine administration

Tü,fek A; Yildirim B; Tokgö,z O; Karaman H; Celik F; Aycan IO
Journal of the Pakistan Medical Association 2012; 62: 609-611

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Many drugs used in anaesthesia have some potential fatal consequences; for example complete heart block and Q-Tc interval prolongation. Since the parasympathetic system in children is not fully developed, electrical transmission of the heart is not stable. Neostigmine is used in order to reverse neuromuscular block but it may also lead to prolongation of Q-Tc interval. We present a case of an 18-month-old male patient weighing 12kg subjected to a surgical operation because of congenital glaucoma. In order to reverse neuromuscular block at the end of operation, atropine and neostigmine were injected intravenously. However, cardiac arrest developed immediately after administration.

Dicle University Medical School, Department of Anesthesiology and Reanimasyon, Diyarbakir, Turkey. adnantufek@hotmail.com

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Classification:

12.17 Anesthesia (Part of: 12 Surgical treatment)
11.2 Cholinergic drugs (Part of: 11 Medical treatment)
9.1.1 Congenital glaucoma, Buphthalmos (Part of: 9 Clinical forms of glaucomas > 9.1 Developmental glaucomas)

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