Postoperative residual curarisation in geriatric patients: a prospective, observational cohort study.
J Pak Med Assoc
; 74(4): 689-694, 2024 Apr.
Article
em En
| MEDLINE
| ID: mdl-38751263
ABSTRACT
Objective:
To evaluate the occurrence and potential risk factors of residual curarisation after surgery and the subsequent acute respiratory events in elderly patients.METHODS:
The prospective, cohort study was conducted at Ankara City Hospital from July to December 2021, and comprised data of geriatric patients undergoing elective surgery under general anaesthesia using moderate-acting nondepolarising muscle relaxants. Postoperative acute respiratory events in the post-anaesthesia care unit were subsequently noted. Data was analysed using SPSS 25.RESULTS:
Of the 185 patients aged >65 years evaluated, 174(94%) were included; 88(50.6%) females and 86(49.4%) males. The incidence of residual curarisation was in 6(3.4%) patients. Postoperative residual curarisation was significantly associated with smooth recovery process (p<0.05). The recovery was associated with intraoperative bleeding, total dose of neuromuscular blocker, and the length of time from the last dose of neuromuscular blocker to antagonist administration (p<0.05). Postoperative critical respiratory events were more common in patients with postoperative residual curarisation (p< 0.001). The length of stay in post-anaesthesia care unit was 1.57 times longer in such patients (p=0.001).Conclusion:
Postoperative residual curarisation increased length of hospital stay and respiratory complications.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
Limite:
Aged
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Aged80
/
Female
/
Humans
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Male
Idioma:
En
Revista:
J Pak Med Assoc
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Turquia