Repeated sugammadex reversal of muscle relaxation during lumbar spine surgery with intraoperative neurophysiological multimodal monitoring

Errando, C.L.; Blanco, T.; Díaz‐Cambronero, Óscar

doi:10.1016/j.redar.2016.03.008

Cited by 7 publications

(2 citation statements)

References 15 publications

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“…En relación al uso de relajante neuromuscular, es conocida su interferencia con la neuromonitorización, si fuese necesario su uso para evitar movimiento durante la cirugía puede revertirse su efecto con suggamadex, cuando se ha utilizado rocuronio o vecuronio, con la finalidad de no interferir con la medición de los potenciales evocados [13]. Como se expuso previamente, se consideró en el caso la abundante pérdida sanguínea, y el edema de vía aérea superior para decidir su despertar y extubación diferidos en UCI [14].…”

Section: Discussionunclassified

Manejo anestésico en una paciente embarazada con meduloblastoma de fosa posterior. Reporte de un caso

S.¹,

K.²,

P.³

et al. 2023

Rev. chil. anest.

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The prevalence of primary tumors of the central nervous system is relatively low,representing only 2% of malignant tumors in adults [1]. Medulloblastoma is one of of the most frequent tumors in the pediatric age,its appearance in adults is low,being an extremely rare finding in pregnant women [2]. Diagnosis,treatment and follow-up in this type of patient requieres a multidisciplinary visión,with considerations such as maternal-fetal well-being and physiological changes in pregnacy. Many of the indications and references for the management of adult patients with medulloblastoma have been extrapolated from the experience of pediatric populations.

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Section: Discussionunclassified

Manejo anestésico en una paciente embarazada con meduloblastoma de fosa posterior. Reporte de un caso

S.¹,

K.²,

P.³

et al. 2023

Rev. chil. anest.

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“…35,50,51 However, the regimen (routine/selective) and even dose of sugammadex for neural monitoring remains debatable. 52,53 35,50,51,[54][55][56] A protocol of sugammadex 2 mg/kg at skin incision rapidly restores neuromuscular function suppressed by rocuronium 0.6 mg/ kg at anesthesia induction. All patients receiving routine regimen showed high initial EMG amplitude at initial vagal (V1) stimulation, which was vital for surgical decision and nerve injury evaluation during monitored thyroidectomy.…”

Section: Rocuronium Combined With Sugammadexmentioning

confidence: 99%

Neuromuscular blockade management for intraoperative neural monitoring

2019

The Kaohsiung J of Med Scie

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This article reviews the literature on development of neuromuscular blockade management in thyroid surgery with intraoperative neural monitoring (IONM) in the past decade. Neuromuscular blockade management includes the choice of neuromuscular blocking agents (NMBAs) and reversal of neuromuscular blockade by sugammadex. A series of animal study and clinical trials showed NMBAs effect on IONM in thyroid surgery. We summarized five NMBA regimens for IONM: (a) relaxant‐free regimen, (b) depolarizing NMBA‐succinylcholine, (c) titration of nondepolarizing NMBA, and (d) rocuronium combined with sugammadex. The proper management of neuromuscular blockade during IONM has greatly developed over the past decade. The misuse of NMBAs is associated with false IONM interpretations to surgeons. A detailed understanding of NMBAs and neuromuscular blockade management by sugammadex may optimize IONM quality in patients receiving monitored thyroid surgery.

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Are There New Evidences on the Use of Neuromuscular Blocking Agents and Reversal Drugs in Thoracic Surgery?

Errando

Ayas

García-Villalobos

2020

Anesthesia in Thoracic Surgery

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Repeated sugammadex reversal of muscle relaxation during lumbar spine surgery with intraoperative neurophysiological multimodal monitoring

Cited by 7 publications

References 15 publications

Manejo anestésico en una paciente embarazada con meduloblastoma de fosa posterior. Reporte de un caso

Manejo anestésico en una paciente embarazada con meduloblastoma de fosa posterior. Reporte de un caso

Neuromuscular blockade management for intraoperative neural monitoring

Are There New Evidences on the Use of Neuromuscular Blocking Agents and Reversal Drugs in Thoracic Surgery?

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