European Journal of Therapeutics
Original Article

Effects of Two Decurarization Methods on Thermoregulation of Patients Under General Anesthesia


Department of Anesthesiology and Reanimation, Gaziantep University, Gaziantep

Eur J Ther 2020; 26: 122-126
DOI: 10.5152/EurJTher.2019.19073
Read: 115 Downloads: 109 Published: 29 June 2020

Objective: Evaluate the effects of two decurarization methods on thermoregulation of patients who received general anesthesia.

Method: Sixty-six male patients that are over 18 years of age with an ASA physical status I-III and scheduled for elective thoracotomy. Patients were warmed with ( 38 ° C at medium setting ) air blowing blankets. Decurarization was achieved with 0.02-0.05 mg/kg neostigmine in group N and 3 mg/kg sugammadex in group S after train of four (TOF) value obtained at the end of the operation.

Results: Core temperatures of tympanic membrane and peripheral skin temperatures of sternum and 1/3 upper part of the arm were measured and recorded at 15th, 30th, 45th, 60th, 90th and 120th minutes after extubation. Core temperature of the tympanic membrane and skin temperatures measured at the chest and arm in the first two hours after extubation were similar between the groups.

Conclusions: Decurarization agents had no effect on spontaneous central and skin temperatures in the actively heated postoperative patients that had previously equal intraoperative temperatures. Whereas the temperatures of the peripheral skin surface of the patients who received sugammadex returned to preoperative control levels earlier than that of patients receiving neostigmine.

How to cite: Tümtürk P, Ganidağlı S, Kaya Uğur B. Effects of Two Decurarization Methods on Thermoregulation of Patients Under General Anesthesia. Eur J Ther 2020; 26(2): 122-126.

EISSN 2564-7040