• Crit Care Resusc · Sep 2011

    Case Reports

    Cardiac arrest complicating neostigmine use for bowel opening in a critically ill patient.

    • Lesley Maher and Paul J Young.
    • Intensive Care Unit, Wellington Regional Hospital, Wellington, New Zealand. lesleymaher@gmail.com
    • Crit Care Resusc. 2011 Sep 1; 13 (3): 192-3.

    AbstractAbsence of bowel opening is common among critically ill patients. Neostigmine can be used to achieve stool passage after other treatments have been ineffective. Here, we report a case of cardiac arrest complicating neostigmine use in a 16-year-old woman with cerebral palsy who was being treated in the intensive care unit after orthopaedic surgery. Bradycardia is a recognised complication of neostigmine administration; however, cardiac arrest has not been reported previously.

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