scholarly journals Sugammadex for Reversal of Neuromuscular Blockade in a Patient With Renal Failure

2019 ◽  
Vol 24 (3) ◽  
pp. 238-241
Author(s):  
Kayla Pfaff ◽  
Dmitry Tumin ◽  
Joseph D. Tobias

Residual neuromuscular blockade following the use of non-depolarizing neuromuscular blocking agents (NMBAs) can lead to postoperative respiratory complications, including oxygen desaturation, atelectasis, and pneumonia. Sugammadex rapidly reverses steroidal NMBAs by encapsulating them in a highly stable water-soluble complex. This NMBA-sugammadex complex then undergoes renal elimination. In patients with renal insufficiency or failure, concern has been expressed regarding the elimination of the NMBA-sugammadex complex. We present a 19-year-old patient with renal failure who received sugammadex for reversal of neuromuscular blockade. The use of sugammadex in patients with renal dysfunction is discussed and safety concerns are reviewed.

1962 ◽  
Vol 40 (1) ◽  
pp. 1019-1024 ◽  
Author(s):  
Seiichi Yoshida

A water-soluble pigment excreted from Serratia marcescens has been purified by precipitation with ammonium sulphate, dialysis, and ultracentrifugation at different pH values. The purified pigment showed a single band in the ultracentrifuge and by electrophoretic analysis at several pH values. An average molecular weight of 5 × 106 was calculated from light-scattering measurements. This pigment is composed of carbohydrate and protein combined with prodigiosin, and several properties of the complex are described.


1962 ◽  
Vol 40 (8) ◽  
pp. 1019-1024 ◽  
Author(s):  
Seiichi Yoshida

A water-soluble pigment excreted from Serratia marcescens has been purified by precipitation with ammonium sulphate, dialysis, and ultracentrifugation at different pH values. The purified pigment showed a single band in the ultracentrifuge and by electrophoretic analysis at several pH values. An average molecular weight of 5 × 106 was calculated from light-scattering measurements. This pigment is composed of carbohydrate and protein combined with prodigiosin, and several properties of the complex are described.


2007 ◽  
Vol 22 (1) ◽  
pp. 35-39 ◽  
Author(s):  
L. Ben Farhat ◽  
R. Ben Hassen ◽  
L. Dammak

A polycrystalline sample of YbCoO3 was prepared using a water-soluble complex method at relatively low temperatures. Common chelating ligands such as citric acid were employed for the synthesis of complex-based precursors, followed by thermal decomposition of the precursors at high temperatures. X-ray diffraction data were collected and the crystal structure was refined by the Rietveld method. The structure of YbCoO3 can be described as a sesquioxide C-M2O3-like structure with space group Ia-3 and unit-cell parameter a=10.4470 (2). The Yb3+ and the Co3+ cations are found to preferentially occupy the two nonequivalent 8d and 24d sites, respectively. The two independent atoms Yb/Co have octahedral coordination; however, the degrees of distortion of their coordination polyhedron are different. The relationship between the title compound and the orthorhombic Perovskite structure of YbCoO3 reported in the literature is established.


2007 ◽  
Vol 2007 (18) ◽  
pp. 2870-2878 ◽  
Author(s):  
Sanja Grguric-Sipka ◽  
Christian R. Kowol ◽  
Seied-Mojtaba Valiahdi ◽  
Rene Eichinger ◽  
Michael A. Jakupec ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document