Clinical experience with deep myorelaxation in long laparoscopic surgery
Kurenkov D.A., Volodin I.A., Nikolaenko E.M.

Scientific Clinical Center of Russian Railways, Moscow

The paper discusses clinical experience with deep myorelaxation in long laparoscopic surgeries. 47-year-old man underwent laparoscopic corpocaudal pancreatectomy. Intra-abdominal pressure was 11 mm Hg. The surgery has taken 4 hours and 40 minutes while total duration of anesthesia was 5 hours and 20 minutes. Posttetanic count (PTC) was maintained at 2 until the end of basic surgical steps. Total rocuronium dosage was 2.6 mg/kg (200 mg). The surgeons considered the conditions for surgical manipulations and visualization as optimal. The reversal of neuromuscular blockade was performed with sugammadex 4 mg/kg (300 mg). The reversal of neuromuscular transmission to TOF ≥90% was achieved after 3 minutes and 42 seconds. Tracheal extubation was performed in the operating room 12 minutes after the end of the surgery and 6 minutes and 20 seconds after the reversal. This clinical case illustrates that deep intraoperative myorelaxation in laparoscopic surgical procedures provides novel treatment modalities.

Key words: myorelaxation, residual relaxation, monitoring of neuromuscular transmission, adequacy of anesthesia.

For citation: Kurenkov D.A., Volodin I.A., Nikolaenko E.M. Clinical experience with deep myorelaxation in long laparoscopic surgery // RMJ. 2016. № 23. P. 1563–1566.