Sugammadex and Ideal Body Weight in Bariatric Surgery
Joint Authors
Alessandri, Francesco
Sabba, Antonio
Wefki Abdelgawwad Shousha, Ahmed Abdelgawwad
Cutolo, Alessandra
Sanfilippo, Maria
Source
Anesthesiology Research and Practice
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-06-06
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Background.
The obese patients have differences in body composition, drug distribution, and metabolism.
Sugammadex at T2 recovery in a dose of 2 mg kg−1 of real body weight (RBW) can completely reverse the NMB block; in our study we investigated the safety and efficacy of Sugammadex dose based on their ideal body weight (IBW).
Methods.
40 patients of both sexes undergoing laparoscopic bariatric surgery were enrolled divided into 2 groups according to the dose of Sugammadex: the first received a dose of 2 mg kg−1 of IBW and the second received a dose of 2 mg kg−1 of RBW.
Both were anesthetized with doses calculated according to the IBW: fentanyl 2 μg kg−1, propofol 3 mg kg−1, rocuronium 0,6 mg kg−1, oxygen, air, and desflurane (6–8%).
Maintenance doses of rocuronium were 1/4 of the intubation dose.
Sugammadex was administrated at T2 recovery.
Results.
The durations of intubation and maintenance doses of rocuronium were similar in both groups.
In IBW group, the T4/T1 value of 0.9 was reached in 151 ± 44 seconds and in 121 ± 55 seconds in RBW group (P=0.07).
Discussion.
Recovery times to T4/T1 of 0.9 are surprisingly similar in both groups without observing any postoperative residual curarization.
Conclusion.
Sugammadex doses calculated according to the IBW are certainly safe for a rapid recovery and absence of PORC.
American Psychological Association (APA)
Sanfilippo, Maria& Alessandri, Francesco& Wefki Abdelgawwad Shousha, Ahmed Abdelgawwad& Sabba, Antonio& Cutolo, Alessandra. 2013. Sugammadex and Ideal Body Weight in Bariatric Surgery. Anesthesiology Research and Practice،Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-468273
Modern Language Association (MLA)
Sanfilippo, Maria…[et al.]. Sugammadex and Ideal Body Weight in Bariatric Surgery. Anesthesiology Research and Practice No. 2013 (2013), pp.1-5.
https://search.emarefa.net/detail/BIM-468273
American Medical Association (AMA)
Sanfilippo, Maria& Alessandri, Francesco& Wefki Abdelgawwad Shousha, Ahmed Abdelgawwad& Sabba, Antonio& Cutolo, Alessandra. Sugammadex and Ideal Body Weight in Bariatric Surgery. Anesthesiology Research and Practice. 2013. Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-468273
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-468273