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001-es BibID:BIBFORM053931
Első szerző:Végh Tamás (aneszteziológus, intenzív terápiás szakorvos)
Cím:Clinical observations on reversal of rocuronium-induced residual neuromuscular blockade by sugammadex after thoracic surgery / Tamás Végh, Marianna Juhász, István László, Attila Vaskó, Edömér Tassonyi, Béla Fülesdi
Dátum:2014
Megjegyzések:Objective: After thoracic surgery, a complete reversal of neuromuscular blockade (NMB) facilitatesventilatory movements and expectoration and enhances the possibility of early physiotherapy. Therefore,the aim of the present study was to evaluate the clinical usefulness of sugammadex for reversal of NMBafter anaesthesia for thoracic surgery.Design: prospective case series.Setting: university hospital.Participants: 49 patients undergoing thoracic surgical procedures (25 thoracotomies, 11 video-assistedthoracoscopies and 13 mediastinosciopies) were included.Interventions: Rocuronium was used for intubation and maintenance of NMB under continuousmonitoring with TOF Watch SX acceleromyograph. Residual NMB at the end of surgery was reversed byadministration of sugammadex 2 mg/kg BW.Main results: All patients had a residual curarisation at the end of surgery (TOF: 27.02 ? 25.9%).Time to 100% TOF recovery after sugammadex averaged 2.46 ? 0.58 minutes. Thirty three out of 49patients had mild hypothermia at the end of surgery. There was no difference in time needed for TOFrecovery to 100% between hypothermic and normothermic patients (hypothermic: 2.46 ? 2.9 minutes,normothermic: 1.81 ? 0.76 minutes, p = 0.29). Postoperative shivering occurred in 67% of the patients.Conclusions: We conclude that sugammadex allows fast and complete recovery of the neuromuscularfunction after thoracic surgical procedures even if mild hypothermia was present.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
thoracic anaesthesia
sugammadex
rocuronium
residual curarisation
Megjelenés:Romanian Journal of Anaesthesia and Intensive Care. - 21 : 1 (2014), p. 7-11. -
További szerzők:Juhász Marianna (1975-) (aneszteziológus) László István (1978-) (aneszteziológus) Vaskó Attila (1976-) (tüdőgyógyász) Tassonyi Edömér (1940-2022) (aneszteziológus) Fülesdi Béla (1961-) (aneszteziológus)
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