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- W2079786632 abstract "Background. Sugammadex offers a good alternative to the conventional decurarisation process currently performed with cholinesterase inhibitors. Sugammadex, which was developed specifically for the aminosteroid-structured rocuronium and vecuronium neuromuscular blockers, is a modified cyclodextrin made up of 8 glucose monomers arranged in a cylindrical shape. Methods. In this study, the goal was to investigate the efficacy of sugammadex. Sugammadex was used when there was insufficient decurarisation following neostigmine. This study was performed on 14 patients who experienced insufficient decurarisation (TOF<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M1><mml:mo><</mml:mo><mml:mn>0.9</mml:mn></mml:math>) with neostigmine after general anaesthesia in the operating rooms of a university and a state hospital between June, 2012, and January, 2014. A dose of 2 mg/kg of sugammadex was administered. Results. Time elapsed until sugammadex administration following neostigmine<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M2><mml:mn>37</mml:mn><mml:mi mathvariant=normal> </mml:mi><mml:mo>±</mml:mo><mml:mi mathvariant=normal> </mml:mi><mml:mn>6</mml:mn></mml:math>min, following sugammadex it took<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M3><mml:mn>2.1</mml:mn><mml:mi mathvariant=normal> </mml:mi><mml:mo>±</mml:mo><mml:mi mathvariant=normal> </mml:mi><mml:mn>0.9</mml:mn></mml:math>min to reach TOF<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M4><mml:mo>≥</mml:mo><mml:mi> </mml:mi><mml:mn>0.9</mml:mn></mml:math>, and the extubation time was<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M5><mml:mn>3.2</mml:mn><mml:mi mathvariant=normal> </mml:mi><mml:mo>±</mml:mo><mml:mi mathvariant=normal> </mml:mi><mml:mn>1.4</mml:mn></mml:math>min. No statistically significant differences were detected in the hemodynamic parameters before and after sugammadex application. From the time of administration of sugammadex to the second postoperative hour, no side effects or complications occurred. None of the patients experienced acute respiratory failure or residual block during this time period. Conclusion. Sugammadex was successfully used to reverse rocuronium-induced neuromuscular block in patients where neostigmine was insufficient." @default.
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- W2079786632 date "2014-01-01" @default.
- W2079786632 modified "2023-10-18" @default.
- W2079786632 title "A Miracle That Accelerates Operating Room Functionality: Sugammadex" @default.
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- W2079786632 doi "https://doi.org/10.1155/2014/945310" @default.
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