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首页> 外文期刊>Acta anaesthesiologica Belgica >Evidence for the need of a deep neuromuscular block during laparoscopic surgery?
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Evidence for the need of a deep neuromuscular block during laparoscopic surgery?

机译：在腹腔镜手术期间需要深神经肌肉嵌段的证据？

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摘要

Since sugammadex has been available, maintaining a continuous deep neuromuscular block (cDNMB) from tracheal intubation until closure of the fascia during laparoscopic surgery is no longer incompatible with a fast recovery. In this review, studies comparing cDNMB [0 train-of-four (TOF) counts, 1-2 post-tetanic counts] and continuous moderate neuromuscular block (cMNMB) (1-3 TOF counts) are analyzed. In 9 available studies for laparoscopy, the authors concluded that cDNMB provides superior surgical working conditions, with lower insufflation pressures, and, therefore, less pain. Regrettably for anesthesiologists, the main focus of those studies was the surgical working conditions (evaluated using a nonvalidated scale), with less emphasis on patient-related outcomes. Moreover, the control group often had very light block. Due to these problems, we suggest that there is not much evidence supporting the routine use of cDNMB at the moment. This does not mean that cDNMB could not have some advantages.
机译：由于Sugammadex已获得，维持来自气管插管的连续深神经肌块（CDNMB），直至在腹腔镜手术期间闭合筋膜，不再与快速恢复不相容。在本次综述中，分析了CDNMB [0托管四（TOF）计数，1-2后滴定次数]和连续中度神经血清嵌段（CMNMB）（CMNMB）（1-3 TOF计数）的研究。在9种可用的腹腔镜检查研究中，作者得出结论，CDNMB提供了卓越的外科工作条件，具有较低的吹气压力，因此较小疼痛。对于麻醉学家令人遗憾的是，这些研究的主要焦点是外科工作条件（使用非验证量表评估），重点强调患者相关的结果。此外，对照组通常具有非常轻微的块。由于这些问题，我们认为目前还有许多证据支持CDNMB的常规使用。这并不意味着CDNMB无法产生一些优点。

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