添加器pollicis和flexor hallucis brevis肌肉电动图反应的比较:一个前性队列研究
Vivian Hernandez1, Harold Chaves-Cardona1, Andrea Rivero1
1Department of Anesthesiology and Perioperative Medicine, Mayo Clinic College of Medicine and Science, Jacksonville, FL, USA.
概括
足部 (flexor hallucis brevis) 的定量神经肌肉监测显示,与手部 (adductor pollicis) 相比,发病和恢复时间略有差异. 这些神经肌肉阻塞逆转的统计变化没有临床意义.
科学领域:
- 麻醉学 麻醉学
- 药理学 药理学是指药理学的学科.
- 神经肌肉监测 神经肌肉监测
背景情况:
- 麻醉学会建议进行定量神经肌肉监测.
- 大多数监视器都放置在手中的添加器肌肉.
- 在手术期间,添加器聚位可能无法使用.
研究的目的:
- 为了比较添加器polycis (手) 和曲器hallucis brevis (脚) 肌肉同时进行的定量神经肌肉测量.
- 评估基于足部监测神经肌肉阻塞的可靠性.
主要方法:
- 对同意患者进行前性队列研究.
- 在神经肌肉阻塞开始和sugammadex逆转期间,手和脚的同时进行电肌图测量.
- 数据每20秒收集一次,直到四列列车 (TOF) 数量达到0和TOF比率≥0.9.
主要成果:
- 81名患者在两个部位同时进行测量.
- 手和脚之间发病时间的平均差异为31秒 (P=0.02).
- 手和脚之间的偏移时间的平均差异为-3秒 (P=0.26).
结论:
- 足部的定量神经肌肉监测显示,与手部相比,发病时间在统计上有显著差异.
- 恢复时间在脚部和手部之间没有显著差异.
- 观察到的发病和恢复时间的差异具有不清楚的临床意义.
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