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@article{1489907, author = {Klučka, Jozef and Kosinová, Martina and Křikava, Ivo and Štoudek, Roman and Ťoukálková, Michaela and Štourač, Petr}, article_location = {OXFORD}, article_number = {1}, doi = {http://dx.doi.org/10.1016/j.bja.2018.10.001}, keywords = {neuromuscular blockade; paediatric anaesthesia; residual blockade}, language = {eng}, issn = {0007-0912}, journal = {British Journal of Anaesthesia}, title = {Residual neuromuscular block in paediatric anaesthesia}, url = {http://dx.doi.org/10.1016/j.bja.2018.10.001}, volume = {122}, year = {2019} }
TY - JOUR ID - 1489907 AU - Klučka, Jozef - Kosinová, Martina - Křikava, Ivo - Štoudek, Roman - Ťoukálková, Michaela - Štourač, Petr PY - 2019 TI - Residual neuromuscular block in paediatric anaesthesia JF - British Journal of Anaesthesia VL - 122 IS - 1 SP - "E1"-"E2" EP - "E1"-"E2" PB - Oxford University Press SN - 00070912 KW - neuromuscular blockade KW - paediatric anaesthesia KW - residual blockade UR - http://dx.doi.org/10.1016/j.bja.2018.10.001 L2 - http://dx.doi.org/10.1016/j.bja.2018.10.001 N2 - Background: Residual neuromuscular blockade (RNB) in postoperative period is frequent (26-88%) and it is associated with negative impact on perioperative morbidity. The safety cut-off measured by accelerometry is currently defined as Train-of-four ratio (TOFr) >= 0.9. The primary outcome of the study was detect the incidence of RNB measured just prior extubation in the operating room (OR) (according to pragmatic trial design) and the secondary outcome was the incidence of the RNB in postanaethesia care unit (PACU). Methods: After Ethics Committee (10/2016) approval, paediatric patients (1.1.2017-31.12.2017) undergoing surgery in general anaesthesia with muscle relaxation were included in the study. The level of blockade was measured just prior to extubation in OR (patient eligible for extubation according to the anesthesiologist) and after arrival at PACU with acceleromtery – TOF-Watch®SX (Organon, Inc, West Orange, NJ). The mode for measurement was Train-of-four (TOF) and Train-of-four ratio (TOFr), in case of deep blockade Post-tetanic count (PTC). Data are described by descriptive analytic methods (mean, standard deviation -SD, median). Results: Overall, 291 patients were included in the study. The incidence of RNB in the OR was 48.2 % (95% CI: 42.4 54.1%, n=136) and the incidence of RNB in PACU was 26.9 % (95% CI: 19.5 35.3 %, n = 32). Active block reversal was administered in 23.3% (n=68) patients. Overall, 31.6% (87/275) patients were extubated with TOFr<0.9. Conclusion: Residual neuromuscular blockade in selected cohort of paediatric patients was frequent. ER -
KLUČKA, Jozef, Martina KOSINOVÁ, Ivo KŘIKAVA, Roman ŠTOUDEK, Michaela ŤOUKÁLKOVÁ a Petr ŠTOURAČ. Residual neuromuscular block in paediatric anaesthesia. \textit{British Journal of Anaesthesia}. OXFORD: Oxford University Press, 2019, roč.~122, č.~1, s.~''E1''-''E2'', 2 s. ISSN~0007-0912. Dostupné z: https://dx.doi.org/10.1016/j.bja.2018.10.001.
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