Neuromuscular Blockade, Smoking
Conditions
Keywords
sugammadex, smoking, neuromuscular blockade
Brief summary
We compared the durations of antagonizing and of the severity of effect of sugammadex used in antagonizing the rocuronium in smoker and non-smoker total 40 patients with using Train of Four(TOF) neuromuscular monitorization.
Detailed description
40 patients from American Society of Anesthesiologist (ASA) I- II class, being smokers for at least 10 years or non-smokers, who will undergo elective surgery were included in this randomized prospective study. Patients underwent routine monitoring and neuromuscular monitoring. Propofol 2 mg/kg and intravenous fentanyl 1 mcg/kg were applied at induction. After the loss of eyelash reflex, intravenous rocuronium 0,6 mg/kg was administered. The patient was intubated at a Train of Four count of 2. Anesthesia was continued with 50% O2 + 50% air and sevoflurane 2 % . Rocuronium 0,15 mg/kg was administered when TOF (Train of Four) counter reached 2 during the operation. Sugammadex 2 mg/kg was administered at the end of the operation. The time to reach Train of Four values of 0,7-0,8-0,9 were recorded.
Interventions
At the end of the operation, at least 15 minutes after the last dose of rocuronium, sugammadex 2 mg / kg was administered both of groups
Sponsors
Study design
Eligibility
Inclusion criteria
* Elective surgery, * 1-2 according to the ASA ( American Society of Anesthesiologist ) physical status classification. * Patients who have smoked at least 10 packs or have been smoking for 10 years and currently smoking * Or never smoked patients
Exclusion criteria
* neuromuscular diseases * radiotherapy and/or chemotherapy anamnesis, * liver and/or renal disease, * electrolyte balance, * history of drug use which affects neuromuscular transmission, * Body Mass Index (BMI) of more than 27, * use alcohol
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Neuromuscular block recovery time | six months | Time to reach TOF %90 measurement after given neuromuscular blocker reverse agent |