Neuromuscular Monitoring, Muscle Relaxant Use, and Reversal at a Tertiary Teaching Hospital 2.5 Years after Introduction of Sugammadex: Changes in Opinions and Clinical Practice
Joint Authors
Ledowski, Thomas
Ong, Jing Shen
Flett, Tom
Source
Anesthesiology Research and Practice
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-01-22
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Sugammadex was introduced to Royal Perth Hospital in early 2011 without access restriction.
Two departmental audits (26-page online survey and 1-week in-theatre snapshot audit) were undertaken to investigate the change of beliefs and clinical practice related to the use of neuromuscular blocking agents at the Royal Perth Hospital since this introduction.
Results were compared with data from 2011.
We found that, in the 2.5 years since introduction of Sugammadex, more anesthetists (69.5 versus 38%) utilized neuromuscular monitoring, and aminosteroidal neuromuscular blocking agents were used in 94.3% of cases (versus 77% in 2011).
Furthermore, 53% of anesthetists identified with a practice of “deeper and longer” intraoperative paralysis of patients.
All 71 patients observed during the 5-day in-theatre audit were reversed with Sugammadex.
Since the introduction of Sugammadex, 69% ( n = 20 ) of respondents felt it provided “faster turnover,” less postoperative residual neuromuscular blockade ( n = 23 ; 79%), and higher anesthetist satisfaction ( n = 17 ; 59%).
45% ( n = 13 ) of colleagues reported that they would feel professionally impaired without the unrestricted availability of Sugammadex, and 1 colleague would refuse to work in a hospital without this drug being freely available.
In clinical practice Sugammadex was frequently (57%) mildly overdosed, with 200 mg being the most commonly administered dose.
American Psychological Association (APA)
Ledowski, Thomas& Ong, Jing Shen& Flett, Tom. 2015. Neuromuscular Monitoring, Muscle Relaxant Use, and Reversal at a Tertiary Teaching Hospital 2.5 Years after Introduction of Sugammadex: Changes in Opinions and Clinical Practice. Anesthesiology Research and Practice،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1053947
Modern Language Association (MLA)
Ledowski, Thomas…[et al.]. Neuromuscular Monitoring, Muscle Relaxant Use, and Reversal at a Tertiary Teaching Hospital 2.5 Years after Introduction of Sugammadex: Changes in Opinions and Clinical Practice. Anesthesiology Research and Practice No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1053947
American Medical Association (AMA)
Ledowski, Thomas& Ong, Jing Shen& Flett, Tom. Neuromuscular Monitoring, Muscle Relaxant Use, and Reversal at a Tertiary Teaching Hospital 2.5 Years after Introduction of Sugammadex: Changes in Opinions and Clinical Practice. Anesthesiology Research and Practice. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1053947
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1053947