Transversus abdominis plane block is effective as IV morphine-PCA in postoperative pain therapy in lower abdominal surgery, when given in a 30-mL volume. It may be preferable to IV-PCA, as the analgesic effect starts earlier and decreases the systemic effect of the morphine used in PCA.
Case Report / Olgu Sunumu Here, we report anaesthesia management and the successful use of total intravenous anaesthesia and sugammadex in a patient with Ullrich's disease. Propofol and remifentanyl infusion was used for anaesthesia. After the end of the surgery, when the train-of-four value was 0%, 4 mg kg −1 sugammadex was administered, and the patient was successfully extubated after 36 s. No adverse effects or safety concerns were observed. In conclusion, we suggest that the use of propofol infusion to avoid the use of inhalation anaesthetics and the use of sugammadex for the reversal of the effects of rocuronium is safe in patients with Ullrich's disease.Keywords: Sugammadex, muscular dystrophy, total intravenous anaesthesia Bu olgu sunumuzda Ullrich hastalığı olan bir hastada başarılı total intravenöz anestezi ve sugammadeks kullanımını bildirmeyi amaçladık. Anestezi idamesi için propofol ve remifentanil infüz-yonu kullanıldı. Cerrahi bitiminde train of four (TOF) değerleri %0 iken, 4 mg kg -1 sugammadeks verildi ve 36. saniyede hasta başarıyla ekstübe edildi. Herhangi bir yan etki ile karşılaşılmadı. Sonuç olarak, Ullrich hastalığı olan hastalarda inhalasyon anestetiklerinin kullanılmasından kaçınmak adına propofol infüzyonun kullanımının ve roküronyumun etkilerinin sonlandırılması için sugammadeks kullanımının güvenli olduğunu bildirmekteyiz.Anahtar kelimeler: Sugammadeks, musküler distrofi, total intravenöz anestezi Abstract / Öz
Recovery times related with return of spontaneous respiration were significantly lower in procedures performed for treatment of tumoral diseases in this study and procedure length was determined to be the ultimate factor which had an impact on adverse event occurrence.
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