Postoperative muscle paralysis after rocuronium: less residual block when acceleromyography is used
Autor: | Jørgen Viby-Mogensen, C. Rosenstock, M. R. Gätke, Lene Theil Skovgaard, F. S. Jensen |
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Rok vydání: | 2002 |
Předmět: |
medicine.medical_specialty
Rocuronium Bromide medicine.drug_class business.industry Neuromuscular transmission Muscle relaxant General Medicine Postoperative residual curarization Neuromuscular monitoring medicine.disease Surgery Anesthesiology and Pain Medicine Anesthesia medicine Paralysis medicine.symptom Rocuronium Propofol business medicine.drug |
Zdroj: | Acta Anaesthesiologica Scandinavica. 46:207-213 |
ISSN: | 0001-5172 |
DOI: | 10.1034/j.1399-6576.2002.460216.x |
Popis: | Background: Residual muscle paralysis after anesthesia is common after pancuronium, but less common following the intermediate-acting drugs vecuronium and atracurium. Therefore, many anesthetists do not monitor neuromuscular function when using an intermediate-acting agent. The purpose of this prospective, randomised and double-blind study was to establish the incidence and degree of postoperative residual block following the use of rocuronium in patients not monitored with a nerve stimulator, and to compare it with results obtained in patients monitored using acceleromyography (AMG). Methods: During propofol/opioid anesthesia, 120 adult patients were randomised to two groups, one monitored with AMG, the other using only clinical criteria without a nerve stimulator. Postoperatively, TOF-ratio was measured with mechanomyography; a TOF-ratio |
Databáze: | OpenAIRE |
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