最佳剂量的neostigmine对抗性cisatracurium诱导的浅神经肌肉阻断在老年患者:一个随机对照研究
Mengya Cao1, Huifan Huang2, Jianbin Tong1,3
1Department of Anesthesiology, Third Xiangya Hospital, Central South University, Changsha, Hunan, 410013, P.R. China.
BMC anesthesiology
|August 10, 2023
概括
尼奥斯蒂格明有效地逆转老年患者的残留神经肌肉阻塞. 40μg/kg的剂量是最佳选择,可以在全身麻醉后更快地恢复神经肌肉功能.
科学领域:
- 麻醉学 麻醉学
- 药理学 药理学是指药理学的学科.
背景情况:
- 剩余的神经肌肉阻塞是全身麻醉的常见并发症.
- 尼奥斯蒂格明是一种标准的逆转剂,但老年患者的最佳剂量尚不清楚.
研究的目的:
- 确定neostigmine的最佳剂量和安全性,以逆转老年患者的浅残留神经肌肉阻塞.
- 为了比较不同的neostigmine剂量 (20,40,50μg/kg) 与没有neostigmine的对照组.
主要方法:
- 一项随机对照试验,涉及196名接受非心脏手术的老年患者.
- 患者接受了cisatracurium用于神经肌肉阻塞,并随机分配给接受不同剂量的neostigmine或安慰剂.
- 主要结果是达到0.9.9的四列列车 (TOF) 比率的时间.
主要成果:
- 与对照组相比,neostigmine的使用显著缩短了达到0.9的TOF比率的时间.
- 40微克/公斤和50微克/公斤的剂量比20微克/公斤更有效,而40和50微克/公斤之间没有显著差异.
- 在手术后的恶心,吐,认知障碍或PACU停留期间,在不同组之间没有发现显著差异.
结论:
- 尼奥斯蒂格明是有效的加速神经肌肉功能恢复在老年患者的一般麻醉后.
- 一个neostigmine剂量40μg/kg似乎是一个最优的选择来逆转残留的神经肌肉阻塞.
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