Kardiorelax 2011 – a five-day observational study of neuromuscular blockade during adult cardiac surgery in the Czech Republic
Authors:
Hájek Roman 1; Adámek Petr 2; Derych Leo 3; Horáček Michal 4; Jehlička Pavel 5; Kameník Vladimír 6; Leitgeb Marián 7; Mokrejš Jiří 8; Říha Hynek 9; Samek Jindřich 10; Schichel Tomáš 11; Turek Zdeněk 10; Vaněk Tomáš 12
Authors‘ workplace:
Kardiochirurgická klinika, LF Univerzity Palackého a Fakultní nemocnice Olomouc
1; Centrum kardiovaskulární a transplantační chirurgie, Brno
2; Kardiochirurgické oddělení, Nemocnice Podlesí, a. s., Třinec
3; Klinika anesteziologie, resuscitace a intenzivní medicíny, 2. LF Univerzity Karlovy a Fakultní nemocnice Motol, Praha
4; Kardiocentrum, Nemocnice Na Homolce, Praha
5; Klinika anesteziologie, resuscitace a intenzivní medicíny, 1. LF Univerzity Karlovy a Všeobecná fakultní nemocnice, Praha
6; Kardiocentrum, Nemocnice, a. s., České Budějovice
7; Kardiochirurgické oddělení, Fakultní nemocnice Plzeň
8; Klinika anesteziologie a resuscitace, Kardiocentrum, IKEM Praha
9; Klinika anesteziologie, resuscitace a intenzivní medicíny, LF Univerzity Karlovy a Fakultní nemocnice Hradec Králové
10; Kardiochirurgické centrum, Fakultní nemocnice Ostrava
11; Kardiochirurgická klinika, 3. LF Univerzity Karlovy a Fakultní nemocnice Královské Vinohrady, Praha
12
Published in:
Anest. intenziv. Med., 23, 2012, č. 1, s. 14-20
Category:
Anaesthesiology - Original Paper
Overview
Objective:
To obtain data about the use of neuromuscular blocking agents (NMBAs) during general anaesthesia in adult patients undergoing cardiac surgery in the Czech Republic.
Design:
A five-day, prevalence, questionnaire study.
Setting:
All cardiac anesthesia departments that registered before the study date.
Materials and methods:
Patients whose anesthetic care was provided between June 6 (7 AM) and June 11 (7 AM) were enrolled. Data of each patient were entered into a web-based questionnaire and information relevant to neuromuscular blockade was collected.
Results:
During the study period, 183 patients (173 on cardiopulmonary bypass) were anesthetized. Tracheal intubation (172 patients) was facilitated most often by non-depolarizing NMBAs: rocuronium (31.1%), pancuronium (16.9%), atracurium (14.8%), cisatracurium (13.7%), and suxamethonium 2.2%. Neuromuscular blockade was maintained most frequently with rocuronium (24.0%), cisatracurium (15.8%), pancuronium (12.0%), atracurium (14.8%), and vecuronium (11.5%). Neuromuscular blockade was not reversed in any patient. Monitoring of neuromuscular blockade was not used in any patient.
Conclusion:
For induction and maintenance of neuromuscular blockade, predominantly intermediate NMBAs were used. In the Czech Republic, neither neuromuscular blockade monitoring nor pharmacological reversal is used during cardiac surgery in adult patients.
Keywords:
questionnaire survey – neuromuscular blockade – cardiac surgery – neuromuscular blocking agent – reversal – monitoring
Sources
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Anaesthesiology, Resuscitation and Inten Intensive Care MedicineArticle was published in
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