Time From Giving Reversal to Train  of Four 90 %: A Comparison Between Inhalational Anaesthesia and Propofol

Mohammed Kareem Naji, Ali; Abbas Naem, Reem; Abbas Salman, Iyad

	Time From Giving Reversal to Train of Four 90 %: A Comparison Between Inhalational Anaesthesia and Propofol
Iraqi Postgraduate Medical Journal
Article 1, Volume 17, Issue 2, 2018, Pages 114-120 PDF (0 K)
Authors
Ali Mohammed Kareem Naji; Reem Abbas Naem; Iyad Abbas Salman
Abstract
ABSTRACT: BACKGROUND: The train-of-four (TOF) ratio should return to at least 90% to exclude potentially clinically significant postoperative residual block. The time gap between clinical recovery (subjective) until objective recovery (i.e. TOF ratio has returned to _0.90) can be considered “the potentially unsafe period of recovery OBJECTIVE: To determine the time difference (from giving the reversal drugs till reach TOF90% readings by acceleromyography) between patients maintained on propofol and those maintained on halothane. PATIENTS AND METHOD: A prospective clinical trial study100 females underwent caesarian section divided into inhalational anaesthesia group (maintained on inhalational anaesthesia-halothane) and propofol group (maintained on propofol infusion after delivery of the baby till the end of operation) then recovery is monitored using acceleromyography. RESULT: Times from giving reversal of the muscle relaxant till extubation and time from giving reversal till reading of TOF90% were significantly lower in propofol group than in inhalational group. CONCLUSION: Patients maintained on propofol was extubated earlier than those maintained on inhalational anaesthesia also needed less time to reach TOF90% i.e. inhalational anaesthesia augment muscle relaxation more than propofol. .
Keywords
KEY WORDS; train of four; Propofol; inhalational anaesthesia

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