Use of protocol and evaluation of postoperative residual curarization incidence in the absence of intraoperative acceleromyography - Randomized clinical trial
| Autor: | Angélica de Fátima de Assunção Braga, Carla Josefine Barbosa de Lima Ribeiro, Vanessa Henriques Carvalho, Fernando Eduardo Feres Junqueira, Filipe Nadir Caparica Santos, Franklin Sarmento da Silva Braga |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Postoperative residual curarization Anesthesia General Delayed Emergence from Anesthesia law.invention Pacu lcsh:RD78.3-87.3 03 medical and health sciences Young Adult 0302 clinical medicine Randomized controlled trial Clinical Protocols 030202 anesthesiology law Monitoring Intraoperative Acceleromyography medicine Humans Rocuronium Quantitative neuromuscular monitoring biology business.industry Incidence (epidemiology) Incidence Myography General Medicine Middle Aged biology.organism_classification medicine.disease Neostigmine Surgery Blockade lcsh:Anesthesiology Anesthesia Total dose Neuromuscular Blockade Female Cholinesterase Inhibitors business 030217 neurology & neurosurgery Neuromuscular blockers medicine.drug Neuromuscular Nondepolarizing Agents |
| Zdroj: | Revista Brasileira de Anestesiologia v.67 n.6 2017 Revista Brasileira de Anestesiologia Sociedade Brasileira de Anestesiologia (SBA) instacron:SBA Brazilian Journal of Anesthesiology, Vol 67, Iss 6, Pp 592-599 (2017) Revista Brasileira de Anestesiologia, Vol 67, Iss 6, Pp 592-599 |
| Popis: | Objective: Evaluate the incidence of postoperative residual curarization (PORC) in the post-anesthesia care unit (PACU) after the use of protocol and absence of intraoperative acceleromyography (AMG). Methods: Randomized clinical trial with 122 patients allocated into two groups (protocol and control). Protocol group received initial and additional doses of rocuronium (0.6 mg·kg−1 and 10 mg, respectively); the use of rocuronium was avoided in the final 45 min; blockade reversal with neostigmine (50 μg·kg−1); time ≥15 min between reversion and extubation. Control: initial and additional doses of rocuronium, blockade reversal, neostigmine dose, and extubation time, all at the discretion of the anesthesiologist. AMG was used in the PACU and PORC considered at T4/T1 ratio |
| Databáze: | OpenAIRE |
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