FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2015010085> ?p ?o ?g. }

• W2015010085 endingPage "1259." @default.
• W2015010085 startingPage "1253" @default.
• W2015010085 abstract "Based on a train-of-four (TOF) ratio greater than 0.70 as the standard of acceptable clinical recovery, undetected postoperative residual paralysis occurs frequently in postanesthesia care units. In most published studies, detailed information regarding anesthetic management is not provided. The authors reexamined the incidence of postoperative weakness after the administration of long- and short-acting neuromuscular blockers because few, if any, such comparative studies are available.Ninety-one adult patients were studied. In group 1 (mivacurium, n = 35), anesthesia was induced with propofol/ fentanyl and maintained with nitrous oxide, desflurane, and opioid supplementation. The response of the adductor pollicis to ulnar nerve stimulation was estimated by palpating the thumb. Mivacurium (0.20 mg/kg) was administered for tracheal intubation, and an infusion was adjusted to maintain the TOF count at 1. When surgery was completed, the infusion was discontinued. When a second twitch could be detected, 7.0 micrograms/kg atropine and then 0.5 mg/kg edrophonium were administered. At 5 and 10 min, the mechanical TOF response was measured. Additional measurements were recorded if possible. Patients were tracheally extubated and discharged from the operating room when they could respond to verbal commands and no TOF fade was palpable. In group 2 (pancuronium-desflurane anesthesia, n = 29), the protocol was identical to that of group 1, except that 0.07 mg/kg pancuronium was administered for tracheal intubation. Additional increments (0.5 to 1 mg) were given as needed. Antagonism was accomplished with 0.05 mg/kg neostigmine and 0.01 mg/kg glycopyrrolate. In group 3 (pancuronium propofol-opioid, n = 27), the protocol was identical to that of group 2, except that anesthesia was maintained with nitrous oxide and a propofol-alfentanil infusion. In all groups, patients were assessed until a TOF ratio of 0.90 or more was achieved.All of the patients in group 1 had TOF ratios greater than 0.80 on arrival in the postanesthesia care unit. Twenty of 35 patients had TOF ratios 0.90 or more while they were still in the operating room. Thirty-three of 35 patients had TOF ratios 0.90 or more within 30 min of reversal, and this value was reached in all patients by 45 min. Recovery parameters in groups 2 and 3 did not differ from each other. Hence data from these groups were pooled. Fifty-four of 56 patients who received pancuronium had TOF values of 0.70 or more, the remaining two patients had values of 0.6 to 0.7. In contrast to the mivacurium group, however, only four patients achieved a TOF ratio of 0.90 or greater while still in the operating room. Finally, eight of these patients did not achieve this degree of recovery within 90 min of reversal.These results suggest that if nondepolarizing neuromuscular blockers are administered using tactile evaluation of the TOF count as a guide, critical episodes of postoperative weakness in the postanesthesia care unit should occur infrequently even with long-acting relaxants. Nevertheless, if full recovery is defined as return to a TOF ratio of 0.90 or more, then short-acting agents would appear to offer a wider margin of safety." @default.
• W2015010085 created "2016-06-24" @default.
• W2015010085 creator A5053500831 @default.
• W2015010085 creator A5056486938 @default.
• W2015010085 creator A5070642686 @default.
• W2015010085 creator A5071063211 @default.
• W2015010085 creator A5084069326 @default.
• W2015010085 date "1996-12-01" @default.
• W2015010085 modified "2023-10-18" @default.
• W2015010085 title "Residual Postoperative Paralysis" @default.
• W2015010085 cites W180227604 @default.
• W2015010085 cites W1964743349 @default.
• W2015010085 cites W1974988711 @default.
• W2015010085 cites W1978034186 @default.
• W2015010085 cites W1982986939 @default.
• W2015010085 cites W1993278735 @default.
• W2015010085 cites W2008474649 @default.
• W2015010085 cites W2012113031 @default.
• W2015010085 cites W2032284953 @default.
• W2015010085 cites W2041688751 @default.
• W2015010085 cites W2045214445 @default.
• W2015010085 cites W2068947371 @default.
• W2015010085 cites W2069520826 @default.
• W2015010085 cites W2070636079 @default.
• W2015010085 cites W2074170031 @default.
• W2015010085 cites W2074312823 @default.
• W2015010085 cites W2074666562 @default.
• W2015010085 cites W2076640524 @default.
• W2015010085 cites W2082859587 @default.
• W2015010085 cites W2086342829 @default.
• W2015010085 cites W2107528652 @default.
• W2015010085 cites W2114882937 @default.
• W2015010085 cites W2116989436 @default.
• W2015010085 cites W2128051306 @default.
• W2015010085 cites W2128986546 @default.
• W2015010085 cites W2152467100 @default.
• W2015010085 cites W2159348144 @default.
• W2015010085 cites W2228595746 @default.
• W2015010085 cites W2050608498 @default.
• W2015010085 cites W2403244964 @default.
• W2015010085 doi "https://doi.org/10.1097/00000542-199612000-00005" @default.
• W2015010085 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/8968171" @default.
• W2015010085 hasPublicationYear "1996" @default.
• W2015010085 type Work @default.
• W2015010085 sameAs 2015010085 @default.
• W2015010085 citedByCount "44" @default.
• W2015010085 countsByYear W20150100852013 @default.
• W2015010085 countsByYear W20150100852016 @default.
• W2015010085 countsByYear W20150100852017 @default.
• W2015010085 countsByYear W20150100852020 @default.
• W2015010085 countsByYear W20150100852023 @default.
• W2015010085 crossrefType "journal-article" @default.
• W2015010085 hasAuthorship W2015010085A5053500831 @default.
• W2015010085 hasAuthorship W2015010085A5056486938 @default.
• W2015010085 hasAuthorship W2015010085A5070642686 @default.
• W2015010085 hasAuthorship W2015010085A5071063211 @default.
• W2015010085 hasAuthorship W2015010085A5084069326 @default.
• W2015010085 hasBestOaLocation W20150100851 @default.
• W2015010085 hasConcept C141071460 @default.
• W2015010085 hasConcept C206044474 @default.
• W2015010085 hasConcept C2775859210 @default.
• W2015010085 hasConcept C2776277131 @default.
• W2015010085 hasConcept C2776442465 @default.
• W2015010085 hasConcept C2776988050 @default.
• W2015010085 hasConcept C2777411258 @default.
• W2015010085 hasConcept C2778029997 @default.
• W2015010085 hasConcept C2778162923 @default.
• W2015010085 hasConcept C2778716859 @default.
• W2015010085 hasConcept C2779618896 @default.
• W2015010085 hasConcept C2781072394 @default.
• W2015010085 hasConcept C2781448737 @default.
• W2015010085 hasConcept C2909465803 @default.
• W2015010085 hasConcept C3020341438 @default.
• W2015010085 hasConcept C42219234 @default.
• W2015010085 hasConcept C71924100 @default.
• W2015010085 hasConceptScore W2015010085C141071460 @default.
• W2015010085 hasConceptScore W2015010085C206044474 @default.
• W2015010085 hasConceptScore W2015010085C2775859210 @default.
• W2015010085 hasConceptScore W2015010085C2776277131 @default.
• W2015010085 hasConceptScore W2015010085C2776442465 @default.
• W2015010085 hasConceptScore W2015010085C2776988050 @default.
• W2015010085 hasConceptScore W2015010085C2777411258 @default.
• W2015010085 hasConceptScore W2015010085C2778029997 @default.
• W2015010085 hasConceptScore W2015010085C2778162923 @default.
• W2015010085 hasConceptScore W2015010085C2778716859 @default.
• W2015010085 hasConceptScore W2015010085C2779618896 @default.
• W2015010085 hasConceptScore W2015010085C2781072394 @default.
• W2015010085 hasConceptScore W2015010085C2781448737 @default.
• W2015010085 hasConceptScore W2015010085C2909465803 @default.
• W2015010085 hasConceptScore W2015010085C3020341438 @default.
• W2015010085 hasConceptScore W2015010085C42219234 @default.
• W2015010085 hasConceptScore W2015010085C71924100 @default.
• W2015010085 hasIssue "6" @default.
• W2015010085 hasLocation W20150100851 @default.
• W2015010085 hasLocation W20150100852 @default.
• W2015010085 hasOpenAccess W2015010085 @default.
• W2015010085 hasPrimaryLocation W20150100851 @default.
• W2015010085 hasRelatedWork W1985604566 @default.

• next