Use of neuromuscular blockers in Brazil
ABSTRACTThe objective of this study was to evaluate how Brazilian anesthesiologists are using neuromuscular blockers, focusing on how they establish the diagnosis of postoperative residual curarization and the incidence of complications associated with the use of neuromuscular blockers. A questionna...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Anestesiologia
2015-10-01
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| Series: | Revista Brasileira de Anestesiologia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942015000500319&lng=en&tlng=en |
| _version_ | 1819048493129400320 |
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| author | Giovani de Figueiredo Locks Ismar Lima Cavalcanti Nadia Maria Conceição Duarte Rafael Martins da Cunha Maria Cristina Simões de Almeida |
| author_facet | Giovani de Figueiredo Locks Ismar Lima Cavalcanti Nadia Maria Conceição Duarte Rafael Martins da Cunha Maria Cristina Simões de Almeida |
| author_sort | Giovani de Figueiredo Locks |
| collection | DOAJ |
| description | ABSTRACTThe objective of this study was to evaluate how Brazilian anesthesiologists are using neuromuscular blockers, focusing on how they establish the diagnosis of postoperative residual curarization and the incidence of complications associated with the use of neuromuscular blockers. A questionnaire was sent to anesthesiologists inviting them to participate in the study. The online data collection remained open from March 2012 to June 2013. During the study period, 1296 responses were collected. Rocuronium, atracurium, and cisatracurium were the main neuromuscular blockers used in cases of elective surgery. Succinylcholine and rocuronium were the main neuromuscular blockers used in cases of emergency surgery. Less than 15% of anesthesiologists reported the frequent use of neuromuscular function monitors. Only 18% of those involved in the study reported that all workplaces have such a monitor. Most respondents reported using only the clinical criteria to assess whether the patient is recovered from the muscle relaxant. Most respondents also reported always using some form of neuromuscular blockade reversal. The major complications attributed to neuromuscular blockers were residual curarization and prolonged blockade. Eighteen anesthesiologists reported death attributed to neuromuscular blockers. Residual or prolonged blockade is possibly recorded as a result of the high rate of using clinical criteria to diagnose whether the patient has recovered or not from motor block and, as a corollary, the poor use of neuromuscular transmission monitors in daily practice. |
| first_indexed | 2024-12-21T11:17:08Z |
| format | Article |
| id | doaj.art-b0ce2aa210ac44949d8651d96f840dc7 |
| institution | Directory Open Access Journal |
| issn | 1806-907X |
| language | English |
| last_indexed | 2024-12-21T11:17:08Z |
| publishDate | 2015-10-01 |
| publisher | Sociedade Brasileira de Anestesiologia |
| record_format | Article |
| series | Revista Brasileira de Anestesiologia |
| spelling | doaj.art-b0ce2aa210ac44949d8651d96f840dc72022-12-21T19:05:53ZengSociedade Brasileira de AnestesiologiaRevista Brasileira de Anestesiologia1806-907X2015-10-0165531932510.1016/j.bjane.2015.03.001S0034-70942015000500319Use of neuromuscular blockers in BrazilGiovani de Figueiredo LocksIsmar Lima CavalcantiNadia Maria Conceição DuarteRafael Martins da CunhaMaria Cristina Simões de AlmeidaABSTRACTThe objective of this study was to evaluate how Brazilian anesthesiologists are using neuromuscular blockers, focusing on how they establish the diagnosis of postoperative residual curarization and the incidence of complications associated with the use of neuromuscular blockers. A questionnaire was sent to anesthesiologists inviting them to participate in the study. The online data collection remained open from March 2012 to June 2013. During the study period, 1296 responses were collected. Rocuronium, atracurium, and cisatracurium were the main neuromuscular blockers used in cases of elective surgery. Succinylcholine and rocuronium were the main neuromuscular blockers used in cases of emergency surgery. Less than 15% of anesthesiologists reported the frequent use of neuromuscular function monitors. Only 18% of those involved in the study reported that all workplaces have such a monitor. Most respondents reported using only the clinical criteria to assess whether the patient is recovered from the muscle relaxant. Most respondents also reported always using some form of neuromuscular blockade reversal. The major complications attributed to neuromuscular blockers were residual curarization and prolonged blockade. Eighteen anesthesiologists reported death attributed to neuromuscular blockers. Residual or prolonged blockade is possibly recorded as a result of the high rate of using clinical criteria to diagnose whether the patient has recovered or not from motor block and, as a corollary, the poor use of neuromuscular transmission monitors in daily practice.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942015000500319&lng=en&tlng=enBloqueadores neuromuscularesPesquisas sobre serviços de saúdeMonitoração neuromuscular |
| spellingShingle | Giovani de Figueiredo Locks Ismar Lima Cavalcanti Nadia Maria Conceição Duarte Rafael Martins da Cunha Maria Cristina Simões de Almeida Use of neuromuscular blockers in Brazil Revista Brasileira de Anestesiologia Bloqueadores neuromusculares Pesquisas sobre serviços de saúde Monitoração neuromuscular |
| title | Use of neuromuscular blockers in Brazil |
| title_full | Use of neuromuscular blockers in Brazil |
| title_fullStr | Use of neuromuscular blockers in Brazil |
| title_full_unstemmed | Use of neuromuscular blockers in Brazil |
| title_short | Use of neuromuscular blockers in Brazil |
| title_sort | use of neuromuscular blockers in brazil |
| topic | Bloqueadores neuromusculares Pesquisas sobre serviços de saúde Monitoração neuromuscular |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942015000500319&lng=en&tlng=en |
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