Abdominal Pressure Variations and Degree of Myorelaxation During Extra Abdominal Surgery
- *Corresponding Author:
- Simona MureÈan
Associated Professor, Department of Physiology
University of Medicine and Pharmacy of Târgu MureÈ
540136, Târgu MureÈ, Romania
Tel: +40 (0) 747 29 15 91
E-mail: [email protected]
Received Date: November 20, 2016; Accepted Date: December 03, 2016; Published Date: December 10, 2016
Citation: MureÈan M, MureÈan S, Popescu G, Sala D, Brinzaniuc K, et al. Abdominal Pressure Variations and Degree of Myorelaxation During Extra Abdominal Surgery. Journal of Surgery [Jurnalul de chirurgie]. 2016; 12(4): 157-159 DOI: 10.7438/1584-9341-12-4-5
Copyright: © 2016 MureÈan M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Aim: The purpose of the study is to verify the hypothesis that there is a correlation between the degrees of myorelaxation obtained by neuromuscular blockage during general anesthesia with changes in IAP values. Material and methods: The present study was carried out in surgery department, during September 2016 - October 2016. The plot consisted of 9 patients who undergone surgeries in the extra-abdominal area: 2 total thyroidectomies, 3 subtotal thyroidectomies, 3 simple mastectomy and one axilo-femoral bypass. Results: By comparing the results obtained in the nine cases, it was observed a statistically insignificant increase of intraabdominal pressure at train of four ratio values of 0, 1 or 2, intraabdominal pressure instead showed statistically significant variations in train of four ratio values of 3 or 4, observed especially at the reversal of anesthesia and patient waking up. Conclusions: Train of four ratio is an accurate indicator of the degree of neuromuscular blockage. Train of four ratio values of 0-2 changed statistically insignificant the intra-abdominal pressure. Increase train of four ratio over 3 led to sudden increases in intra-abdominal pressure.