Postoperative Residual Neuromuscular Paralysis at an Australian Tertiary Children’s Hospital
Joint Authors
Ledowski, Thomas
O’Dea, Brendan
Meyerkort, Luke
Hegarty, Mary
von Ungern-Sternberg, Britta S.
Source
Anesthesiology Research and Practice
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-05-10
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Purpose.
Residual neuromuscular blockade (RNMB) is known to be a significant but frequently overlooked complication after the use of neuromuscular blocking agents (NMBA).
Aim of this prospective audit was to investigate the incidence and severity of RNMB at our Australian tertiary pediatric center.
Methods.
All children receiving NMBA during anesthesia were included over a 5-week period at the end of 2011 (Mondays to Fridays; 8 a.m.–6 p.m.).
At the end of surgery, directly prior to tracheal extubation, the train-of-four (TOF) ratio was assessed quantitatively.
Data related to patient postoperative outcome was collected in the postoperative acute care unit.
Results.
Data of 64 patients were analyzed.
Neostigmine was given in 34 cases and sugammadex in 1 patient.
The incidence of RNMB was 28.1% overall (without reversal: 19.4%; after neostigmine: 37.5%; n.s.).
Severe RNMB (TOF ratio < 0.7) was found in 6.5% after both no reversal and neostigmine, respectively.
Complications in the postoperative acute care unit were infrequent, with no differences between reversal and no reversal groups.
Conclusions.
In this audit, RNMB was frequently observed, particularly in cases where patients were reversed with neostigmine.
These findings underline the well-known problems associated with the use of NMBA that are not fully reversed.
American Psychological Association (APA)
Ledowski, Thomas& O’Dea, Brendan& Meyerkort, Luke& Hegarty, Mary& von Ungern-Sternberg, Britta S.. 2015. Postoperative Residual Neuromuscular Paralysis at an Australian Tertiary Children’s Hospital. Anesthesiology Research and Practice،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1053948
Modern Language Association (MLA)
Ledowski, Thomas…[et al.]. Postoperative Residual Neuromuscular Paralysis at an Australian Tertiary Children’s Hospital. Anesthesiology Research and Practice No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1053948
American Medical Association (AMA)
Ledowski, Thomas& O’Dea, Brendan& Meyerkort, Luke& Hegarty, Mary& von Ungern-Sternberg, Britta S.. Postoperative Residual Neuromuscular Paralysis at an Australian Tertiary Children’s Hospital. Anesthesiology Research and Practice. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1053948
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1053948