Is muscle relaxant necessary in patients undergoing laparoscopic gynecological surgery with a ProSeal LMATM?

Chen, Ben-zhen; Tan, Ling; Zhang, Lan; Shang, Yu-chao

doi:10.1016/j.jclinane.2012.06.004

Cited by 40 publications

(35 citation statements)

References 13 publications

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“…Chen et al 25 reported no difference in insertion success rate using the LMAP irrespective of muscle relaxant use. Authors reported 'ease of insertion' in different ways in their studies.…”

Section: Discussionmentioning

confidence: 98%

Comparison of laryngeal mask airway Supreme and laryngeal mask airway Pro-Seal for controlled ventilation during general anaesthesia in adult patients

Maitra

Khanna

Baidya

2014

European Journal of Anaesthesiology

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“…Chen et al 25 reported no difference in insertion success rate using the LMAP irrespective of muscle relaxant use. Authors reported 'ease of insertion' in different ways in their studies.…”

Section: Discussionmentioning

confidence: 98%

Comparison of laryngeal mask airway Supreme and laryngeal mask airway Pro-Seal for controlled ventilation during general anaesthesia in adult patients

Maitra

Khanna

Baidya

2014

European Journal of Anaesthesiology

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“…[8] However, the authors concluded that the routine use of neuromuscular blockers in adequately anesthetized patients undergoing this process might not be indicated because two-thirds of patients without the use of neuromuscular blockers showed a good to excellent surgical condition. The other study concerned laparoscopic gynecological surgery [9] ; the authors concluded that a neuromuscular blockade was not necessary in general anesthesia using ProSeal laryngeal mask airway (LMA) for this process. They reported that the insertion conditions for ProSeal LMA and surgical conditions were comparable with or without neuromuscular blockers, and that the recovery time was shorter in the group without the neuromuscular blocker.…”

Section: Discussionmentioning

confidence: 99%

Is neuromuscular blocker needed in children undergoing inguinal herniorrhaphy?

Koo

Jung

et al. 2017

Medicine

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Background:Intraoperative neuromuscular blocker is widely used, but is known to be associated with postoperative residual paralysis, which is known to be associated with increased risk of pulmonary complications. Hence, its use should be individualized and restricted to procedures where it is mandatory. We examined whether not using a neuromuscular blocker affects the surgical conditions in children undergoing inguinal herniorrhaphy.Methods:Anesthesia was induced and maintained with sevoflurane in 60% nitrous oxide, and the airway was maintained using an I-gel. In total, 66 children aged 1 to 6 years were randomized to receive rocuronium (rocuronium group, n = 33) or saline (control group, n = 33); 61 children of them finished the study. A single surgeon who performed the operation rated the surgical condition of each patient on a 4-point scale (1 = poor, 2 = acceptable, 3 = good, and 4 = excellent). Intraoperative patient movement, recovery time, emergence agitation, and postoperative pain scores were evaluated.Results:One patient in control group and no patient in rocuronium group showed intraoperative movement. When noninferiority test was done for intraoperative patient movement, with the noninferiority margin of 20%, the difference of absolute risk was 3.3% (95% confidence interval −8.0% to 16.7%) and saline group was noninferior to rocuronium group. All of the patients showed good to excellent surgical conditions, and no difference was found between the 2 groups. The recovery time was shorter in the control group than in the rocuronium group (4.5 ± 1.8 vs 5.6 ± 2.2 minutes, respectively; P = .028).Conclusion:In children aged 1 to 6 years undergoing inguinal herniorhaphy under sevoflurane anesthesia using an I-gel, not using neuromuscular blocker showed similar intraoperative condition and shortened recovery time compared with using neuromouscular blocker.

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“…Blobner et al 13 Regrettably, many investigators keep asking the wrong questions. We think it is pointless to compare clinical conditions for laparoscopy during deep neuromuscular block to no block et al 14,[16][17][18] It is not our position that NMBAs should be avoided in the anesthetic management of laparoscopic surgery. Rather they should be administered judiciously.…”

Section: Definitions a Fundamental Disagreementmentioning

confidence: 99%

Is deep neuromuscular block beneficial in laparoscopic surgery? No, probably not

Kopman¹,

Naguib

2016

Acta Anaesthesiol Scand

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Is muscle relaxant necessary in patients undergoing laparoscopic gynecological surgery with a ProSeal LMATM?

Cited by 40 publications

References 13 publications

Comparison of laryngeal mask airway Supreme and laryngeal mask airway Pro-Seal for controlled ventilation during general anaesthesia in adult patients

Comparison of laryngeal mask airway Supreme and laryngeal mask airway Pro-Seal for controlled ventilation during general anaesthesia in adult patients

Is neuromuscular blocker needed in children undergoing inguinal herniorrhaphy?

Is deep neuromuscular block beneficial in laparoscopic surgery? No, probably not

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