AI Article Synopsis
- - The study aimed to determine if using a combination of rocuronium and cisatracurium could enhance muscle relaxation during laparoscopic surgery, which is crucial due to the potential respiratory issues caused by the procedure's effects on the diaphragm and intra-abdominal pressure.
- - A total of 75 patients undergoing laparoscopic cholecystectomy were divided into three groups based on the muscle relaxants administered, and various measures of muscle relaxation effectiveness were recorded.
- - Results indicated that the combination of rocuronium and cisatracurium provided a more effective muscle relaxant effect than using either drug alone, suggesting it could reduce rocuronium dosage without compromising safety during surgery.
Article Abstract
Background: Laparoscopic upper abdominal surgery can cause spontaneous respiration due to diaphragmatic stimulation and intra-abdominal CO inflation. Therefore, sufficient muscle relaxation is necessary for a safe surgical environment.
Methods: We investigated if the combination of rocuronium and cisatracurium can counteract the delayed onset of cisatracurium's action and delayed recovery of muscle relaxation and whether the dosage of rocuronium, which is metabolized hepatically, can be reduced. A total of 75 patients scheduled for laparoscopic cholecystectomy with an American Society of Anesthesiology physical status I-II, in the age range of 20-60 years, and with a 20-30 kg/m body mass index were included in the study.
Results: The patients were divided into the following groups: combination group (Group RC, rocuronium 0.3 mg/kg and cisatracurium 0.05 mg/kg), rocuronium group (Group R, rocuronium 0.6 mg/kg), and cisatracurium group (Group C, cisatracurium 0.1 mg/kg), and the onset, 25% duration, recovery index, and addition/time ratio were measured. Patients in Group RC exhibited a significantly different addition/time ratio compared with patients in the other two groups (p = 0.003).
Conclusion: During laparoscopic cholecystectomy, the 95% effective dose of rocuronium in combination with cisatracurium is expected to provide a sufficient muscle relaxant effect.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5332119 | PMC |
| http://dx.doi.org/10.15280/jlm.2017.7.1.35 | DOI Listing |
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