%0 Journal Article
%T Prolonged neuromuscular block in a preeclamptic patient induced by magnesium sulfate
%J Archive of "The Pan African Medical Journal".
%D 2016
%R 10.11604/pamj.2016.25.5.6616
%X 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
%K Magnesium sulfate
%K non depolarizing relaxants
%K pregnancy
%K neuromuscular block
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5268791/