意外外周注射苏加马德克斯和拉莫塞 - 一个案例报告
Ji Wook Kim1, Taek Yong Ko2, Donghee Kang1
1Department of Anesthesiology and Pain Medicine, Kosin University College of Medicine, Busan, Korea.
Anesthesia and pain medicine
|February 10, 2026
概括
意外外周注射苏加马德克斯和拉莫塞发生,但没有造成长期伤害. 这一案例凸显了在术后药物管理中保持警的必要性,以防止错误的药物管理错误.
科学领域:
- 麻醉学 麻醉学
- 药理学 药理学是指药理学的学科.
- 患者安全 患者安全
背景情况:
- 将静脉注射 (IV) 药物错误地注入外周腔是罕见的,但可能有害的事件.
- 之前关于意外外周注射的报道不包括sugammadex或ramosetron.
研究的目的:
- 报告第一个意外外周注射sugammadex和ramosetron的事件.
- 强调药物安全协议在术后护理中的重要性.
主要方法:
- 一个69岁的女性患者的病例报告,接受了胸部外围麻醉和全身麻醉.
- 意外外周注射的sugammadex (200毫克) 和ramosetron (0.3毫克) 在5分钟内被识别出来.
- 患者的管理包括继续麻醉的出现和随后的IV苏加马德克斯的管理.
主要成果:
- 病人经过错误的输送路线后没有经历过即时的不良反应.
- 在术后,患者出现过渡的轻微右三肌弱和双边C8皮肤.
- 神经症状在术后第二天消失,没有持久的后果.
结论:
- 尽管结果是良性的,但这一事件强调了与错误的药物输送路线相关的风险.
- 强调需要在术后药物管理中加强警和预防策略.
- 加强了强有力的安全检查的重要性,以防止药物错误.
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