Postanesthesia Care Unit Recovery Times and Neuromuscular Blocking Drugs: A Prospective Study of Orthopedic Surgical Patients Randomized to Receive Pancuronium or Rocuronium

Anesthesia and Analgesia

Volumn 98, Issue 1, 2004, Pages 193-200

  Murphy, Glenn S ^a,b   Szokol, Joseph W ^a   Franklin, Mark ^a   Marymont, Jesse H ^a   Avram, Michael J ^a   Vender, Jeffery S ^a  

^a NORTHWESTERN UNIVERSITY   (United States)

^b EVANSTON HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

PANCURONIUM; ROCURONIUM;

ADULT; ANESTHESIA; ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CONVALESCENCE; DOSE RESPONSE; FEMALE; HUMAN; HYPOXEMIA; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MUSCLE WEAKNESS; NAUSEA; NEUROMUSCULAR BLOCKING; ORTHOPEDIC SURGERY; PARESIS; PATIENT CARE; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; VISUAL IMPAIRMENT; VOMITING;

EID: 0347363656     PISSN: 00032999     EISSN: None     Source Type: Journal    
DOI: 10.1213/01.ANE.0000095040.36648.F7     Document Type: Article

References (22)

1. Andersen BN, Madsen JV, Schurizek BA, Juhl B. Residual curarization: a comparative study of atracurium and pancuronium. Acta Anaesthesiol Scand 1988;32:79-81.
2. Viby-Mogensen J, Jorgensen BC, Ording H. Residual curarization in the recovery room. Anesthesiology 1979;500:539-41.
3. Bevan DR, Smith CE, Donati F. Postoperative neuromuscular blockade: a comparison between atracurium, vecuronium, and pancuronium. Anesthesiology 1988;69:272-6.
4. Berg H, Viby-Mogensen J, Roed J, et al. Residual neuromuscular block is a risk factor for postoperative pulmonary complications: a prospective, randomized, and blinded study of postoperative pulmonary complications after atracurium, vecuronium, and pancuronium. Acta Anaesthesiol Scand 1997;41:1095-103.
5. Kopman AF, Yee PS, Neuman GG. Relationship of the train-of-four fade ratio to clinical sign and symptoms of residual paralysis in awake volunteers. Anesthesiology 1997;86:765-71.
6. Eriksson LI. The effects of residual neuromuscular blockade and volatile anesthetics on the control of ventilation. Anesth Analg 1999;89:243-51.
7. Sundman E, Witt H, Olsson R, et al. The incidence and mechanisms of pharyngeal and upper esophageal dysfunction in partially paralyzed humans: pharyngeal videoradiography and simultaneous manometry after atracurium. Anesthesiology 2000;92:977-84.
8. Eriksson LI, Sundman E, Olsson R, et al. Functional assessment of the pharynx at rest and during swallowing in partially paralyzed humans: simultaneous videomanometry and mechanamyography of awake human volunteers. Anesthesiology 1997;87:1035-43.
9. Bissinger U, Schimek F, Lenz G. Postoperative residual paralysis and respiratory status: a comparative study of pancuronium and vecuronium. Physiol Res 2000;49:455-62.
10. Lubarsky DA, Glass PS, Ginsberg B, et al. The successful implementation of pharmaceutical practice guidelines: analysis of associated outcomes and cost savings. Anesthesiology 1997;86:1145-60.
11. Viby-Mogensen J, Englbaek J, Eriksson LI, et al. Good Clinical Research Practice (GCRP) in pharmacodynamic studies of neuromuscular blocking agents. Acta Anaesthesiol Scand 1996;40:59-74.
12. Ballantyne JC, Chang Y. The impact of choice of muscle relaxant on postoperative recovery time: a retrospective study. Anesth Analg 1997;85:476-82.
13. Ali HH, Wilson RS, Savarese JJ, Kitz RJ. The effect of d-tubocurarine on indirectly elicited train-of-four muscle response and respiratory measurements in humans. Br J Anaesth 1975;47:570-4.
14. Ali HH, Savarese JJ, Lebowitz PW, Ramsey FM. Twitch, tetanus, and train-of-four as indices of recovery from nondepolarizing neuromuscular blockade. Anesthesiology 1981;54:294-7.
15. Kopman AF, Klewicka MM, Neuman GG. The relationship between acceleromyographic train-of-four fade and single twitch depression. Anesthesiology 2002;96:583-7.
16. Debaene B, Plaud B, Dilly MP, et al. Residual paralysis in the PACU after a single intubating dose of nondepolarizing muscle relaxant with an intermediate duration of action. Anesthesiology 2003;98:1042-8.
17. Pedersen T, Viby-Mogensen J, Bang U, et al. Does perioperative tactile evaluation of the train-of-four response influence the frequency of postoperative residual neuromuscular blockade? Anesthesiology 1990;73:835-9.
18. Mortensen CR, Berg H, El-Mahdy A, Viby-Mogensen J. Perioperative monitoring of neuromuscular transmission using acceleromyography prevents residual neuromuscular block following pancuronium. Acta Anaesthesiol Scand 1995;39:797-801.
19. Fruergaard K, Viby-Mogensen J, Berg H, El-Mahdy AM. Tactile evaluation of the response to double burst stimulation decreases, but does not eliminate, the problem of postoperative residual paralysis. Acta Anaesthesiol Scand 1998;42:1168-74.
20. Eikermann M, Groeben H, Husing J, Peters J. Accelerometry of adductor pollicis muscle predicts recovery of respiratory function from neuromuscular blockade. Anesthesiology 2003;98:1333-7.
21. Tramer MR, Fuchs-Buder T. Omitting antagonism of neuromuscular block: effect on postoperative nausea and vomiting and risks of residual paralysis - a systematic review. Br J Anaesth 1999;82:379-86.
22. Fuchs-Buder T, Mencke T. Use of reversal agents in day care procedures (with special reference to postoperative nausea and vomiting). Eur J Anaesthesiol Suppl 2001;23:53-9.