Degree of Motor Block Measured by Bromage Scale is not Correlated with Muscle Relaxation
Journal Title: Enliven: Journal of Anesthesiology and Critical Care Medicine - Year 2015, Vol 2, Issue 2
Abstract
Background and Aim Achieving adequate motor and sensory blockage in spinal anesthesia allows the comfortable performance of surgical interventions. However, in certain operations on the lower extremities, surgeons report that adequate muscle relaxation is not achieved. The purpose of this study was to evaluate muscle relaxation subsequent to the administration of spinal anesthesia in orthopedic cases of the lower extremities, using muscle monitoring (Train-of-four) (TOF) and comparing these values with motor and sensory block levels. Methods Ninety-four patients were divided into 3 groups after spinal anesthesia according to maximum sensory block levels. Group I: T10 (n=30), Group II: T8 (n=35), Group III: T6 (n=29). The patients' sensory, motor blocks and TOF values were recorded at the 5th, 10th, 20th, and 30th minutes. Results Significant differences were seen between groups (p < 0.001) in terms of TOF values at the 5th, 10th, 20th, and 30th minutes. In Group III, with the highest sensory block level, the Bromage score was 3 in 28 of the 29 patients at the 30th minute, and the median TOF value was found to be 83. Conclusion It was seen in our study that as sensory and motor block levels increased with the level of spinal anesthesia, the TOF ratios that show muscle relaxation fell. However, the TOF values were still found to be above the 70% level indicating effective muscle relaxation. It may therefore be said that during spinal anesthesia, although maximum motor and sensory blockage is achieved, full muscle relaxation cannot always be ensured.
Authors and Affiliations
Sari Sinem, Sen Selda, Kurt Omurlu Imran, Avk Öner, Baki Murat
Keywords
Related Articles
- EP ID EP618636
- DOI -
- Views 177
- Downloads 0
Perioperative Fetal Monitoring during Acute Heart Valve Surgery in the 16th Week of Pregnancy: A Case Study with Follow up after Five Years
Cardiac surgery during pregnancy carries an extremely high fetal risk. When conducting anesthesia in the gravid patient care must be taken to avoid uterine contractions, and fetal hypoxia. Thus, in such cases, monitoring...
Does Preoperative Carbohydrate Intake Reduces Postoperative Stress Response in Patients Undergoing Valve Replacement Surgeries
Background Cardiac surgery is a stress that causes insulin resistance leading to increased insulin requirements. The aim of our study was to evaluate whether preoperative oral intake of carbohydrate rich drinks could imp...
Fibromyalgia - Out of The Dark Tunnel
My name is Valerie Lumley, recovered fibromyalgic and author of “Curing Chronic Fibromyalgia – Choosing What Works.” The intension of my book first is to help fibromyalgia (FMS) sufferers regain their health, and secondl...
Reversal with Sugammadex in the Absence of Neuromuscular Monitoring
Sugammadex provides rapid and reliable recovery of neuromuscular (NM) function from rocuronium or vecuronium-induced NMblockade than neostigmine. The dose of sugammadex, ranges from 2 to 16 mg/kg, is adequately matched w...
Echocardiographic Predictors of Alveolar Capillary Dysplasia: A Case-Control Study
Objective To evaluate early echocardiographic variables of neonates with alveolar capillary dysplasia (ACD). Study Design A case-control study of five neonates with ACD and their matched controls on extracorporeal membr...