ISSN 2564-7784 | E-ISSN 2564-7040
Original Article
Effects of Two Decurarization Methods on Thermoregulation of Patients Under General Anesthesia
1 Department of Anesthesiology and Reanimation, 25 Aralık Hospital, Gaziantep, Turkey  
2 Department of Anesthesiology and Reanimation, Gaziantep University, Gaziantep, Turkey  
Eur J Ther ; : -
DOI: 10.5152/EurJTher.2019.19073
Key Words: Hypothermia, thermoregulation, decurarization, sugammadex, neostgmine
Abstract

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.

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AVES | Copyright © 2019 European Journal of Therapeutics | Latest Update: 18.09.2019