SO SÁNH MỘT SỐ TÁC DỤNG KHÔNG MONG MUỐN CỦA SUCCINYLCHOLIN VỚI ROCURONIUM CÓ GIẢI GIÃN CƠ BẰNG SUGAMADEX TRONG PHẪU THUẬT TUYẾN GIÁP CÓ SỬ DỤNG HỆ THỐNG PHÁT HIỆN THẦN KINH

Abstract

Using the nerve detection system in NIM surgery reduces the rate of recurrent laryngeal nerve damage in thyroid surgery. However, it requires not having the effect of muscle relaxants to avoid interfering with the signal of the neurological detection system. succinylcholine is a short-acting muscle relaxant which not only helps achieve adequate intubating conditions but also helps quickly restore the neuromuscular synapse.Our study was performed to evaluate the effectiveness of endotracheal tube placement and some adverse effects of succinylcholine vs rocuronium rehesal with sugammadex in thyroidectomy using a NIM. The cross-sectional descriptive study was conducted from April 1, 2020 to October 1, 2020, divided into 2 groups: Group I: Using 0.5mg/kg of rocuronium for intubation and reversal with sugammadex, Group II: Using 1mg/kg of succinylcholine for intubation. Research results show that in both groups, over 95% of patients had good and excellent intubation conditions and there were no case of difficult intubation. The total amount of anesthetics and fentanyl used during surgery was higher in the group II. The risk of coughing , movement intraoperative and postoperative sore throat in the group using succinylcholine was higher than the group using the rocuronium with sugammadex.