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001-es BibID:	BIBFORM078888
Első szerző:	Pongrácz Adrienn (aneszteziológus, intenzív terápiás szakorvos)
Cím:	International survey of neuromuscular monitoring in two European countries : a questionnaire study among Hungarian and Romanian anaesthesiologists / Adrienn Pongrácz, Réka Nemes, Caius Breazu, László Asztalos, Ileana Mitre, Edömér Tassonyi, Béla Fülesdi, Calin Mitre
Dátum:	2019
Megjegyzések:	Background: Accumulating evidence indicates that objective neuromuscular monitoring and pharmacological reversal of neuromuscular block reduces the occurrence of residual muscle paralysis in the acute postoperative phase. However, objective neuromuscular monitoring is not a routine habit in anaesthesia. In order to change this situation, we wished to find out, as a first step to improvement, the current use of neuromuscular monitors and the custom of anaesthetists for reversal of neuromuscular block before tracheal extubation. Methods A ten-point questionnaire was available via the Surveymonkey website and the link was sent to 2202 Hungarian and Romanian anaesthetists by email. Results: Three hundred and two (13.7%) of the 2202 registered anaesthetists responded. Less than 10% of them regularly use neuromuscular monitors. They underestimated the occurrence of residual block; only 2.2% gave a correct answer. Neuromuscular monitors are available in 74% of hospitals but are scarcely used. One third of anaesthetists rarely or never use reversal; approximately 20% regularly reverse before extubation. The responders typically believe that clinical signs of residual block are reliable. Instead of monitoring, they use the "timing methods" for tracheal extubation such as time elapsed from last dose, the duration of action of relaxant, the number of top-up doses, the cumulative dose, the return of adequate respiratory tidal volume and the ability to sustain a 5 s head lift. Conclusions: We concluded that neuromuscular monitoring in these two European countries is suboptimal as is the reversal strategy. Given the fact that monitors are available in the hospitals, the mentality should be changed towards evidence based practice.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban neuromuscular blocking agents neuromuscular monitoring residual neuromuscular block survey
Megjelenés:	Romanian Journal of Anaesthesia and Intensive Care. - 26 : 1 (2019), p. 45-51. -
További szerzők:	Nemes Réka (1985-) (aneszteziológus, intenzív terápiás szakorvos) Breazu, Caius Asztalos László (1985-) (aneszteziológus) Mitre, Ileana Tassonyi Edömér (1940-2022) (aneszteziológus) Fülesdi Béla (1961-) (aneszteziológus) Mitre, Calin
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
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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)
Internet cím:	Szerző által megadott URL Intézményi repozitóriumban (DEA) tárolt változat
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