Post-anaesthesia pulmonary complications after use of muscle relaxants (POPULAR): a multicentre, prospective observational study

Abstract

European Society of Anaesthesiology.

Acute Pain Service: A 10‐Year Experience

“…Furthermore, data about mobilization time, rate of respiratory complications, and length of hospital stay are missing in this study. However, outcomes at our center have been reported multiple times, and in the recent POPULAR, EuSOS, and LAS VEGAS studies, the rates of postoperative pulmonary complications, overall complications, and mortality were below average at our center. Also, data about patient satisfaction, quality of recovery including physical and emotional functioning, and opioid dose were not recorded in our present database.…”

Depth of Neuromuscular Block Is Not Associated with Abdominal Wall Distention or Surgical Conditions during Gynecologic Laparoscopic Operations. A Prospective Trial

“…Neuromuscular blocking agents offer the advantage of better intubation conditions with less tracheal injury [24,25]. However, repeated intraoperative injections provide no further benefit with regard to better operating conditions, but might instead increase the risk of postoperative complications, such as respiratory distress or pulmonary aspiration, even if a TOFR > 90% is achieved at the end of surgery [26].…”

Perioperative anaesthetic management of patients with or at risk of acute distress respiratory syndrome undergoing emergency surgery

“…We believe and suggest that scores should be adopted and included in local hospital guidelines in the evaluation of the patient before surgical intervention to optimize the clinical and organizational pathways in the postoperative period. [10,22,28]. In a large cohort of surgical patients, emergency procedures performed during night-time were independently associated with higher incidence of intraoperative adverse events and PPCs [29]: this might suggest that delaying interventions when feasible might improve surgical outcomes.…”

“…Furthermore, Kirmeier E. et al found that the association between the use of neuromuscular blocking agents and PPCs is probably dose-independent, and even a single dose such as that used for intubation could promote respiratory function impairment [80]. Avoidance or limited use of opioids is feasible in most surgical procedures, and might offer benefits in particular in patients at high risk but planned for extubation after surgery [81], in obese patients and those with suspected or confirmed obstructive sleep apnoea syndrome [82].…”

“…When ARDS is established, it should be managed according to international guidelines, and while treating the underlying conditions, when identifiable. Continuous monitoring of vital parameters after surgery allows prompt identification of complications at their earlier stage, in particular pulse oximetry which is still underused [80].…”