Abstract
ABSTRACT: BACKGROUND: The train-of-four (TOF) ratio should return to at least 90% to exclude potentially clinically significant postoperative residual block. The time gap between clinical recovery (subjective) until objective recovery (i.e. TOF ratio has returned to _0.90) can be considered “the potentially unsafe period of recovery OBJECTIVE: To determine the time difference (from giving the reversal drugs till reach TOF90% readings by acceleromyography) between patients maintained on propofol and those maintained on halothane. PATIENTS AND METHOD: A prospective clinical trial study100 females underwent caesarian section divided into inhalational anaesthesia group (maintained on inhalational anaesthesia-halothane) and propofol group (maintained on propofol infusion after delivery of the baby till the end of operation) then recovery is monitored using acceleromyography. RESULT: Times from giving reversal of the muscle relaxant till extubation and time from giving reversal till reading of TOF90% were significantly lower in propofol group than in inhalational group. CONCLUSION: Patients maintained on propofol was extubated earlier than those maintained on inhalational anaesthesia also needed less time to reach TOF90% i.e. inhalational anaesthesia augment muscle relaxation more than propofol. .
Recommended Citation
Naji, Ali Mohammed Kareem; Naem, Reem Abbas; and Salman, Iyad Abbas
(2018)
"Time From Giving Reversal to Train of Four 90 %: A Comparison Between Inhalational Anaesthesia and Propofol,"
Iraqi Postgraduate Medical Journal: Vol. 17:
Iss.
2, Article 2.
Available at:
https://www.ipmj.org/journal/vol17/iss2/2