Sugammadex - A short review and clinical recommendations for the cardiac anesthesiologist.
Ann Card Anaesth
;
2010 Sept; 13(3): 206-216
Artículo
en Inglés
| IMSEAR
| ID: sea-139533
ABSTRACT
This review outlines the basic pharmacodynamic and pharmacokinetic properties of sugammadex for the cardiac anesthesiologist. It describes the different clinical scenarios when sugammadex can be used during cardiac surgery and gives clinical recommendations. Sugammadex is a unique reversal drug that binds a chemical complex with rocuronium and vecuronium, by which the neuromuscular blockade is quickly reversed. It is free of any clinical side-effects and doses of 2 mg/kg or more reliably reverse neuromuscular blockade within 5-15 min, depending on the depth of the neuromuscular blockade. Doses below 2 mg/kg should be avoided at any time because of the inherent risk of recurarization. Sugammadex should not replace good clinical practice - titration of neuromuscular blocking drugs to clinical needs and objective monitoring of neuromuscular blockade in the operating room or intensive care unit. Neuromuscular transmission should be determined in all patients before sugammadex is considered and 5 min after its administration to ensure that extubation is performed with normal neuromuscular transmission.
Texto completo:
Disponible
Índice:
IMSEAR (Asia Sudoriental)
Asunto principal:
Humanos
/
Ensayos Clínicos como Asunto
/
Ensayos Clínicos Fase III como Asunto
/
Ensayos Clínicos Fase II como Asunto
/
Ensayos Clínicos Fase I como Asunto
/
Bloqueo Neuromuscular
/
Gamma-Ciclodextrinas
/
Relación Dosis-Respuesta a Droga
/
Interacciones Farmacológicas
/
Procedimientos Quirúrgicos Cardíacos
Tipo de estudio:
Guía de Práctica Clínica
Idioma:
Inglés
Revista:
Ann Card Anaesth
Año:
2010
Tipo del documento:
Artículo
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