Anästhesie in der Augenheilkunde

Rocuronium reversed by sugammadex versus mivacurium during high-risk eye surgery: An institutional anaesthetic practice evaluation

“…anaesthesia, according to our clinical standard for intraocular surgery. 8 Within this setting, the anaesthetists were free to use either one of the two relaxation regimens. Also according to our standards, the intraoperative depth of muscle relaxation had to be kept at 0 or 1 twitches, but no target TOF ratio was given at which tracheal extubation had to be performed.…”

“…7 In our department, if tracheal intubation is performed for keratoplasty and PPV, the current standard includes the continuous application of the nondepolarizing muscle relaxant mivacurium (throughout the operation) to establish an adductor pollicis train-of-four (TOF) count between 0 and 1. 8 Due to its shortterm action, mivacurium provides flexible control over the neuromuscular block (NMB) combined with short spontaneous recovery and is therefore particularly suitable for continuous i.v. application, although prolonged action may be observed in patients suffering from pseudocholinesterase deficiency.…”