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
Rok vydání: 2002
Předmět:
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