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[Surgery]
Esmira Nasibova; Ramiz Poluxov;
Monomioplegii idea – the use of one drug for the purpose of intubation and maintenance of neuromuscular blockade is an indisputable advantage of the one day surgery. The authors have shown that the use of muscle relaxant esmeron enables abandon combined mioplegii succinylcholine and nondepolarizing muscle relaxants. The speed of response mioplegii average duration it indispensable in day surgery in children. The authors also note that mioplegii with esmeron more controllable and controlled, its use can significantly reduce the need for patients dekurarization or prolonged assisted ventilation. On the basis of clinical data and TOF-guard monitoring the application of the algorithm esmeron justified in surgical interventions in children.
References:
1. Boer H. D., van Egmond J., Driessen J. J., Booij L. H. D. Update on the management of neuromuscular block: focus on sugammadex. Neuropsychiatr Dis Treat 2007 Oct; 3(5): 539–544.
2. Bonow F. P., Piva J. P., Garcia P. C., Eckert G. U. Assesment of intubation procedures of reference pediatric and neonatal intensive care units. J. Pediatr (Riol). 2004;80(5):355-362.
3. Driessen J. J., Robertson E., van Egmond J., Booij L. H. D. The time-course of action and recovery of rocuronium 0.3 mgákg in infants and children during halothane anaesthesia measured with acceleromyography. Paediatric Anaesthesia 2000;10:493-497.
4. Feltman D. M., Weiss M. G., Nicoski P., Sinacore J. Rocuronium for nonemergent intubation of term and preterm infants. Journal of Perinatology 2011;31(1):38-43.
5. Meakin G. H. Muscle relaxants in paediatric day case surgery. European Journal of Anaesthesiology 2001;18(Suppl 23):47-52.
6. Mixa V. Selective intubation in small children using the univemt tracheal tube. European Congress of Paediatric Anaesthesia. Abstracts for poster presentation – 169, 2005.
7. Obedin A. N., Alexandrov A. E., Kirgizov I. V. et al. Intensive care of newborns with congenital abnormalities of gasrtointestinal tract and high risk of septic complications. Pediatric Surgery (Russ) 2013;(1):19-24.
8. Vuksanaj D., Fisher D. M. Pharmocokinetics of rocuronium in children aged 4 11 years. Anesthesiology 2006;82:35-38.
9. Wierda J. M., Meretoja O. A., Taivainen. T., Proost J. H. Pharmacokinetics and pharmacokinetic-dynamic modeling of rocoronium in infants and children. Br. J. Anaesth 2005;78:690-693.
Keywords: esmeron, succinylcholone, one day surgery, children