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Acta Anaesthesiol Belg · Jan 1999
Comparative StudyAssessment of the postoperative residual curarisation using the train of four stimulation with acceleromyography.
- A K Fezing, A d'Hollander, and J G Boogaerts.
- Department of Anaesthesia, CHU, Charleroi, Belgium.
- Acta Anaesthesiol Belg. 1999 Jan 1;50(2):83-6.
AbstractThe aim of this study was to measure the incidence of patients with train of four ratio < 0.9 in the immediate postoperative period using acceleromyography. At arrival in recovery room, 257 patients were enrolled. Train of four ratio was assessed at the adductor pollicis using TOF-GUARD INMT apparatus. Patients were divided in two groups according to TOF ratio < (group 1) or > (group 2) to 0.9. Demographic variables, dose (mg), dose/weight ratio (mg.kg-1) of atracurium and surgery duration (min) were registered. There was no difference in demographic variables, duration of surgery (100.90 +/- 67.38/94.83 +/- 62.42 min), number of incidence reversal of neuromuscular block. Patients in group 1 (n = 72) received a higher dose (54.58 +/- 38.03/41.43 +/- 19.47 mg) of atracurium compared to group 2 (n = 176). Thirty percent of patients presented a train of four ratio < 0.7 and 13% < 0.9. TOF-GUARD INMT was easy to use.
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