Prolonged neuromuscular block in a preeclamptic patient induced by magnesium sulfate

  • Mohamed Adnane Berdai
  • Smael Labib
  • Mustapha Harandou

Abstract

Recent large use of magnesium in the obstetric population should incite anesthesiologists to control its side effects and drugs interactions. We report a case of a 30-year-old woman, with severe preeclampsia and HELLP syndrome, receiving sulfate magnesium and nicardipine, who underwent a cesarean section under general anesthesia. She developed a prolonged and deep neuromuscular blockade, which was antagonized three hours later with neostigmine. In case of therapeutic hypermagnesaemia, non-depolarizing relaxants must be used in reduced doses, and at increased time intervals, with appropriate neuromuscular monitoring.

The Pan African Medical Journal 2016;25

Author Biographies

Mohamed Adnane Berdai
Obstetric and Pediatric Intensive Care Unit, University Hospital Hassan II, Fez, Morocco
Smael Labib
Obstetric and Pediatric Intensive Care Unit, University Hospital Hassan II, Fez, Morocco
Mustapha Harandou
Obstetric and Pediatric Intensive Care Unit, University Hospital Hassan II, Fez, Morocco
Published
2016-10-05
Section
Articles

Journal Identifiers


eISSN: 1937-8688