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Neuromuscular Blockade Monitoring: Having It but Knowing When Not to Trust It

Salvador, Sara; Frada, Rita; Campos, Matilde; Esteves, Simão

Butyrylcholinesterase (BChE) is an enzyme involved in the degradation of depolarizing and non-depolarizing neuromuscular blocking agents (NMBA), such as succinylcholine and mivacurium, respectively. Its deficiency is inherited or acquired, and results in paralysis of skeletal muscles after NMBA administration. We report a case of a 32-year-old pregnant woman proposed for cesarean section. General anesthesia (GA...


Inadequate Adenosine-Induced Flow Arrest During Intraoperative Basilar Aneurysm...

Pereira, Ana; Salvador, Sara; Sousa, Helena; Casal, Manuela

Aneurysmal subarachnoid hemorrhage (SAH) is an acute neurologic emergency. We report the case of a 48-year-old male with a massive SAH caused by a ruptured aneurysm of the vertebrobasilar transition. During an urgent craniotomy, due to an aneurysm re-rupture, adenosine was given for flow arrest but no sinus pause was observed. Esmolol was administered and strategies for cerebral protection were implemented. The...


PO 50 - Lidocaína intravenosa intraoperatória e qualidade de vida no follow-up ...

Cavaleiro, Carla; Salvador, Sara; Tomás, Ana Sofia; Lourenço, Sofia; Sá, Andreia; Machado, Humberto

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