XÁC ĐỊNH THỜI GIAN TRUNG BÌNH RÚT NỘI KHÍ QUẢN SAU KHI HOÁ GIẢI GIÃN CƠ TRÊN NGƯỜI BỆNH PHẪU THUẬT CHƯƠNG TRÌNH

Abstract

Introduction: Evidence from many studies has shown that residual neuromuscular block involves many adverse effects that can contribute to postoperative pulmonary complications^1,2. Over the past five decades, quantitative neuromuscular monitoring devices have been used to examine the incidence of postoperative residual neuromuscular block in international clinical practices³ but not all medical facilities are fully equipped with quantitative neuromuscular monitoring devices, thereby creating unsafe gaps for patients. What is the mean time of extubation after reversal of neuromuscular blockade to ensure the patients’s safety? Objective: Determine the mean time of extubation after reversal of neuromuscular blockade and factors that correlate with the decision to delay extubation on patients undergoing elective surgery. Methods: A cross – sectional study on 38 patients undergoing elective surgery at Tam Anh Hospital, from February/2024 to April/2024. Result: The mean extubation time was 5,29 ± 3,031 minutes. However, we failed to show a statistically significant association of correlative factors such as age, ASA, BMI, total dose of Rocuronium, blood loss, fluid administration, surgical time, anesthesia time. Conclusion: It is recommended to wait at least 5 minutes after using Sugammadex and combine with other clinical signs in evaluating the timing of extubation to minimize respiratory complications for patients.