Analysis of incidence of residue neuromuscular blockade for rocuronium and cisatracurium
Objective: To observe the incidence of residual neuromuscular blockade at the end of operation and during tracheal extubation, and analyze the risk factors causing residual neuromuscular blockade by judging the degree of muscle relaxation according to clinical signs when after using rocuronium or...
Main Author: | |
---|---|
Format: | Article |
Language: | English |
Published: |
Editorial Board of Journal of Hainan Medical University
2020-11-01
|
Series: | Journal of Hainan Medical University |
Subjects: | |
Online Access: | http://www.hnykdxxb.com/PDF/201922/12.pdf |
id |
doaj-1b829e3ae7ef44058460c5994250b579 |
---|---|
record_format |
Article |
spelling |
doaj-1b829e3ae7ef44058460c5994250b5792020-11-25T01:54:16ZengEditorial Board of Journal of Hainan Medical UniversityJournal of Hainan Medical University1007-12371007-12372020-11-0125225963Analysis of incidence of residue neuromuscular blockade for rocuronium and cisatracuriumQing-Long Dong0Department of Anesthesiology, The First Affiliated Hospital of Guangzhou Medical UniversityObjective: To observe the incidence of residual neuromuscular blockade at the end of operation and during tracheal extubation, and analyze the risk factors causing residual neuromuscular blockade by judging the degree of muscle relaxation according to clinical signs when after using rocuronium or cis-atracurium in general anesthesia. Methods: 500 adults were implemented with propofol-remifentanil intravenous anesthesia or sevoflurane inhalation anesthesia. Rocuronium and cis-atracurium were given, respectively. The TOFr was observed with blind method by TOF Watch SX monitor during anesthesia. Results: The mean TOFr=0.53±0.38 at the end of operation,including 275 cases of 0<TOFr<0.9 and 112 cases of TOFr=0. The mean TOFr=0.97±0.12 at extubation, including 60 cases of TOFr<0.9. The incidence of residual neuromuscular blockade at extubation showed an increasing trend with the increase of age or body mass index. The average TOFr value at extubation, which interval time over 10 min after neostigmine administration to extubation was significant higher than that of interval time less than 10 min. Conclusions: There has 12% patients with TOFr<0.9 when extubation by estimating rocuronium and cis-atracurium effect with clinical signs and experience, it has a hidden danger of residual neuromuscular blockade. The main risk factors to increasing the incidence of residual neuromuscular blockade are growing old and the short time of administrating muscle relaxants or neostigmine to extubation.http://www.hnykdxxb.com/PDF/201922/12.pdfcis-atracuriumrocuroniumresidual neuromuscular blockincidenceantagonists neuromuscular blockneostigmine |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Qing-Long Dong |
spellingShingle |
Qing-Long Dong Analysis of incidence of residue neuromuscular blockade for rocuronium and cisatracurium Journal of Hainan Medical University cis-atracurium rocuronium residual neuromuscular block incidence antagonists neuromuscular block neostigmine |
author_facet |
Qing-Long Dong |
author_sort |
Qing-Long Dong |
title |
Analysis of incidence of residue neuromuscular blockade for rocuronium and cisatracurium |
title_short |
Analysis of incidence of residue neuromuscular blockade for rocuronium and cisatracurium |
title_full |
Analysis of incidence of residue neuromuscular blockade for rocuronium and cisatracurium |
title_fullStr |
Analysis of incidence of residue neuromuscular blockade for rocuronium and cisatracurium |
title_full_unstemmed |
Analysis of incidence of residue neuromuscular blockade for rocuronium and cisatracurium |
title_sort |
analysis of incidence of residue neuromuscular blockade for rocuronium and cisatracurium |
publisher |
Editorial Board of Journal of Hainan Medical University |
series |
Journal of Hainan Medical University |
issn |
1007-1237 1007-1237 |
publishDate |
2020-11-01 |
description |
Objective: To observe the incidence of residual neuromuscular blockade at the end of
operation and during tracheal extubation, and analyze the risk factors causing residual
neuromuscular blockade by judging the degree of muscle relaxation according to clinical
signs when after using rocuronium or cis-atracurium in general anesthesia. Methods: 500
adults were implemented with propofol-remifentanil intravenous anesthesia or sevoflurane
inhalation anesthesia. Rocuronium and cis-atracurium were given, respectively. The TOFr was
observed with blind method by TOF Watch SX monitor during anesthesia. Results: The mean
TOFr=0.53±0.38 at the end of operation,including 275 cases of 0<TOFr<0.9 and 112 cases
of TOFr=0. The mean TOFr=0.97±0.12 at extubation, including 60 cases of TOFr<0.9. The
incidence of residual neuromuscular blockade at extubation showed an increasing trend with
the increase of age or body mass index. The average TOFr value at extubation, which interval
time over 10 min after neostigmine administration to extubation was significant higher than
that of interval time less than 10 min. Conclusions: There has 12% patients with TOFr<0.9
when extubation by estimating rocuronium and cis-atracurium effect with clinical signs and
experience, it has a hidden danger of residual neuromuscular blockade. The main risk factors
to increasing the incidence of residual neuromuscular blockade are growing old and the short
time of administrating muscle relaxants or neostigmine to extubation. |
topic |
cis-atracurium rocuronium residual neuromuscular block incidence antagonists neuromuscular block neostigmine |
url |
http://www.hnykdxxb.com/PDF/201922/12.pdf |
work_keys_str_mv |
AT qinglongdong analysisofincidenceofresidueneuromuscularblockadeforrocuroniumandcisatracurium |
_version_ |
1724988185300172800 |