[Prolonged neuromuscular block with mivacurium].
We describe a case of prolonged neuromuscular block (longer than 8 hours) after administration of mivacurium. The patient was shown to be homozygous for the atypical butyrylcholinesterase gene. We discuss our treatment of the patient as well as other cases described in the literature, emphasizing the need for neuromuscular monitoring.
Rodríguez-González
M M
MM
Servicio de Anestesiología y Reanimación, Hospital Universitario de Canarias, Santa Cruz de Tenerife.
Arribas-Carrión
C
C
Torre-Aznar
C
C
González-Miranda
F
F
D000368:Aged; D000762:Anesthesia Recovery Period; D002091:Butyrylcholinesterase / Q000235:genetics; D006720:Homozygote; D006801:Humans; D007546:Isoquinolines / Q000009:adverse effects*; D008297:Male; D000077590:Mivacurium; D019148:Neuromuscular Blockade; D003473:Neuromuscular Nondepolarizing Agents / Q000009:adverse effects*; D013997:Time Factors
D007546:Isoquinolines; D003473:Neuromuscular Nondepolarizing Agents; D000077590:Mivacurium; D002091:Butyrylcholinesterase