Sugammadex for Cesarean in a Patient with Multiple Sclerosis

The aim of the present study was to discuss the management of anesthesia in our case with multiple sclerosis (MS) and to present the effects of sugammadex administration. A 36-year-old pregnant patient with MS disease was followed up for 6 years. She was on steroid treatment. The patient had not suffered the entire pregnancy. In addition to performing routine monitoring, “train of four” (TOF) monitorization was used. General anesthesia was given using propofol and rocuronium. At the end of the operation, muscle relaxation was reversed using sugammadex in the patient with a low TOF score. The patient was discharged on postoperative day 3. The most reliable method should be preferred in patients with MS. In patients under general anesthesia, the muscle relaxant effect is prolonged, and sugammadex can be safely used.

Multple skleroz’lu gebe bir hastada anestezi yönetimi ve sugammadeks kullanýmý

Amaç: Olgumuzda Multiple Skleroz (MS)’lu gebe hastada anestezi yönetimini tartýþmayý ve sugammadeks uygulamasýnýn etkileri sunmayý amaçladýk.
Olgu: 36 yaþýndaki gebe hasta 6 yýldýr ms hastalýðý ile takip edilmekte idi. Steroid tedavisi almakta idi. Hasta gebelik boyunca ataðý geçirmemiþti. Hastaya rutin monitörizasyon uygulana ek olarak 'train of four (TOF)' monitörizasyonu kullanýldý. propofol ve roküronyum kullanarak genel anestezi verildi. Operasyon sonunda TOF deðeri düþük olan hastaya sugammadeks kullanýlarak kas gevþemesi geri döndürüldü. Hasta postoperatif 3.gün taburcu edildi.
Sonuç: MS hastalarýnda, en güvenilir yöntem tercih edilmelidir. Genel anestezi uygulanan hastalarda kas gevþetici etkisi uzayabilmektedir ve sugammadeks güvenle kullanýlabilmektedir.