Horcasitas-Pous R, Contreras-Núñez L, Veliz-Flores F, Flores-Montoya J

Language: Spanish
References: 10
Page: 102-106
PDF size: 275.44 Kb.

ABSTRACT

Objective:To determine if the use of muscular relaxant (rocuronium) and sugammadex decreases the laryngospasm and transoperative bleeding in patients subjected to an adenotonsillectomy.
Material and Method: A randomized, controlled, prospective and comparative clinical test was done in patients from 2 to 13 years old, subjected to an adenotonsillectomy as an elective manner from August 2015 to June 2016 at the Hospital Infantil de Chihuahua, divided into two groups: one group was administered rocuronium and sugammadex; the other group was not administered any muscular relaxant.
Results: There were done 50 surgeries. It was obtained that the average intraoperative bleeding in the group without relaxant was of 71.6 cc, while the one in group with relaxant was of 81.6 cc (p = 0.698); p 0.05 was not significant for the study; however, in the group without relaxant 8 patients (32%) had laryngospasm vs the group with relaxant: 3 (12%), with a p value of 0.01708 (p ‹ 0.05), being statistically significant. Average surgical time of groups with and without relaxant was 15 and 13 minutes, respectively (p = 0762).
Conclusion: The administration of rocuronium and concomitant sugammadex to revert the muscle relaxation on tonsillectomy decreases the laryngospam and can alter the transoperative bleeding.

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