Clinical Application of Rocuronium in Abdominal, Ophthalmologic, Otorhinolaryngologic and Plastic Surgery

DOI 5 References

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Other Title
  • ロクロニウムの一般的臨床使用の実際―開腹外科手術および眼科・耳鼻咽喉科手術・形成外科手術―

Abstract

 The most prominent characteristic of rocuronium is rapid onset, but the duration of action is similar to vecuronium.<br> During abdominal surgery, adequate muscle relaxation is essential, especially at the time of peritoneal closure. Nevertheless, prompt recovery of neuromuscular transmission is also required at the end of surgery. To achieve these difficult goals with rocuronium, objective monitoring of neuromuscular transmission is recommended. In particular, deep neuromuscular block is required at diaphragm and abdominal muscles. Either post-tetanic count (PTC) measured at the adductor pollicis or train-of-four count measured at the corrugator supercilii is more reliable than the standard train-of-four ratio measured at the adductor pollicis.<br> Many ophthalmic, otorhinolaryngologic and plastic surgeries have been performed under ambulatory settings. Short duration of neuromuscular blocking action is desirable in this setting. For rocuronium, reduced intubating doses such as 0.45 mg/kg and 0.3 mg/kg have been reported to achieve this goal. Also, a reduced supplemental dose as low as 0.075 mg/kg may be used.

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Details 詳細情報について

  • CRID
    1390001204759345280
  • NII Article ID
    130004449793
  • DOI
    10.2199/jjsca.28.670
  • ISSN
    13499149
    02854945
  • Text Lang
    ja
  • Data Source
    • JaLC
    • Crossref
    • CiNii Articles
  • Abstract License Flag
    Disallowed

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