| Title: |
Epidural administration of ropivacaine and its effects on the pharmacodynamics of rocuronium: Randomized controlled trial. Interaction between ropivacaine and rocuronium |
| Authors: |
Fernando Eduardo F Junqueira, Angelica Fatima A Braga, Vanessa Henriques Carvalho, Franklin S S. Braga, Carla J. B. L. Ribeiro, Ana P C. Fernandez, Filipe N C. Santos |
| Source: |
Saudi Journal of Anaesthesia, Vol 14, Iss 1, Pp 63-68 (2020) |
| Publisher Information: |
Wolters Kluwer Medknow Publications, 2020. |
| Publication Year: |
2020 |
| Collection: |
LCC:Anesthesiology |
| Subject Terms: |
anaesthesia, epidural, local anaesthetics, neuromuscular blocking agentes, rocuronium, ropivacaine, Anesthesiology, RD78.3-87.3 |
| More Details: |
Background: Potentiation of neuromuscular blocking agents by local anesthetics has been described in various clinical and experimental studies. This study assessed the influence of epidural ropivacaine on pharmacodynamic characteristics of rocuronium. Design: This was a prospective randomized clinical trial at the women's hospital, an university tertiary hospital in Brazil. Sixty-two patients underwent elective abdominal surgeries requiring general anesthesia. Intervention: Patients were distributed into two groups: Group 1 (general anesthesia and epidural anesthesia) and Group 2 (general anesthesia). In Group 1, 0.2% ropivacaine at a dose of 40 mg (20 ml) was associated with 2 mg (2 ml) of morphine in a single epidural injection. The following parameters were assessed: clinical duration (DC25) and time for recovery of the train-of-four (TOF) 0.9 ratio (T4/T1 = 90%) after an initial 0.6 mg/kg dose of rocuronium. The primary outcomes were DC25and TOF 0.9 ratio (T4/T1 = 90%). Secondary outcomes were total propofol and remifentanil consumption. Results: Values were presented as median and interquartile range. The results for DC25and TOF 0.9 of rocuronium were, respectively, 41.5 35.0–55.0 (25.0–63.0) in Group 1 and 44.0 37.0-51.0 (20.0–67.0) in Group 2 (P = 0.88); 88.0 67.0–99.0 (43.0–137.0) in Group 1; and 80.0 71.0-86.0 (38.0–155.0) in Group 2 (P = 0.83). There was no significant difference between the groups, in terms of pharmacodynamic characteristics of rocuronium. Propofol consumption did not show any difference between the groups. However, remifentanil consumption was significantly lower in Group 1 (P < 0.01). Conclusion: Epidural ropivacaine, in the dose studied, did not prolong the duration of rocuronium-induced neuromuscular blockade. Trial Registry Number: ReBEC (ref: RBR-7cyp6t). |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
1658-354X |
| Relation: |
http://www.saudija.org/article.asp?issn=1658-354X;year=2020;volume=14;issue=1;spage=63;epage=68;aulast=Junqueira; https://doaj.org/toc/1658-354X |
| DOI: |
10.4103/sja.SJA_493_19 |
| Access URL: |
https://doaj.org/article/7c0c9693251e4df486d565e3ae682896 |
| Accession Number: |
edsdoj.7c0c9693251e4df486d565e3ae682896 |
| Database: |
Directory of Open Access Journals |
