Author/Authors :
Tüfek, Adnan Dicle University - Medical School - Department of Anesthesiology and Reanimasyon, Turkey , Yildirim, Besir Dicle University - Medical School - Department of Anesthesiology and Reanimasyon, Turkey , Tokgöz, Orhan Dicle University - Medical School - Department of Anesthesiology and Reanimasyon, Turkey , Karaman, Haktan Dicle University - Medical School - Department of Anesthesiology and Reanimasyon, Turkey , Çelik, Feyzi Dicle University - Medical School - Department of Anesthesiology and Reanimasyon, Turkey , Aycan, Ilker Öngüç Dicle University - Medical School - Department of Anesthesiology and Reanimasyon, Turkey
Abstract :
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 reverseneuromuscular 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.
Keywords :
Neostigmine , Anaesthesia , Child , Cardiac arrest.
