2008, Número 2
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Rev Mex Anest 2008; 31 (2)
Sugammadex Nueva alternativa para la reversión de la relajación neuromuscular
Carrillo-Esper R, Sánchez-García R, Jiménez-Morales EE
Idioma: Español
Referencias bibliográficas: 29
Paginas: 139-145
Archivo PDF: 619.42 Kb.
RESUMEN
Las ciclodextrinas son moléculas formadas por varias moléculas de glucosa cuya estructura semeja un anillo, con una capa externa hidrofílica y una porción interna lipofílica, que tridimensionalmente adopta la forma de una dona. El sugammadex es una ciclodextrina modificada diseñada para encapsular agentes relajantes musculares no despolarizantes aminoesteroideos. Ha sido estudiada en modelos animales y estudios clínicos en donde se ha demostrado su efectividad y margen de seguridad. El sugammadex se une al agente bloqueador neuromuscular y lo encapsula, haciendo innecesario el uso de inhibidores de colinesterasa. Por su innovador mecanismo de acción y relativa carencia de efectos colaterales su inclusión en el armamentario terapéutico del anestesiólogo impactará en la práctica cotidiana de la anestesiología. El objetivo de este trabajo es revisar los conceptos actuales sobre el sugammadex.
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