術前夜の睡眠誘導薬によるCO2ナルコーシスの1例

DOI

書誌事項

タイトル別名
  • A case of CO2 narcosis caused by a preoperative administration of a sleep-inducing drug.

抄録

We experienced a case of CO2 narcosis caused by 2 mg of rilmazafone hydrochloride (Rhythry®) adminstered at the night prior to an operation. A 72-year-old female scheduled for right total hip replacement because of rheumatoid arthritis with complications of chronic rheumatism, restrictive pulmonary disease, an electrolytic abnormality, and low body weight (32 kg) . When she was transferred to our operating room, she was lethargy and blood gas analysis revealed hypercapnia of PaCO2 87 mmHg. Although she was given doxapram and fulmazenil, she was narcotic owing to hypercapnia. She needed mechanical ventilatory support for more than 36 hours. Rilmazaf one-induced depression of the respiratory center would be responsible for narcosis with hypercapnia.<BR>It is, therefore, important to select a drug and it's dose depending on a patient status.

収録刊行物

  • 蘇生

    蘇生 14 (3), 127-129, 1996

    日本蘇生学会

詳細情報 詳細情報について

  • CRID
    1390282681434444928
  • NII論文ID
    130003826709
  • DOI
    10.11414/jjreanimatology1983.14.127
  • ISSN
    1884748X
    02884348
  • 本文言語コード
    ja
  • データソース種別
    • JaLC
    • CiNii Articles
  • 抄録ライセンスフラグ
    使用不可

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