Key result
Intraoperative objective neuromuscular monitoring did not significantly affect overall rocuronium consumption but reduced it by approximately 20% in elderly patients (age ≥65 years) undergoing laparoscopic abdominal surgery.
Why the study?
Does intraoperative objective neuromuscular monitoring reduce rocuronium consumption in patients undergoing laparoscopic abdominal surgery?
Observational (n=429)
No
Does intraoperative objective neuromuscular monitoring reduce rocuronium consumption in patients undergoing laparoscopic abdominal surgery?
Intraoperative objective neuromuscular monitoring reduces rocuronium consumption by approximately 20% in elderly patients (≥65 years) undergoing laparoscopic abdominal surgery, despite not being an independent factor for the overall cohort.
Answers are grounded in this paper and cite their sources.
Should not yet change practice; hypothesis-generating for targeted benefit in elderly laparoscopic patients.
: 0.803 [0.662-0.974]; P = 0.026). Conclusions Although the use of intraoperative objective neuromuscular monitoring was not an individual factor influencing intraoperative rocuronium consumption, this retrospective study demonstrated that the use of intraoperative neuromuscular monitoring reduced rocuronium consumption for approximately 20% of elderly patients (age ≥65 years) undergoing laparoscopic abdominal surgery.
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Takahoko et al. (2021) conducted an observational in Laparoscopic abdominal surgery (n=429). Intraoperative objective neuromuscular monitoring vs. No intraoperative neuromuscular monitoring was evaluated on Amount of rocuronium consumption (mg) per weight (kg) per hour (mg/kg/h) (back-transformed β coefficient 1.080, 95% CI 0.951-1.226, p=0.23). Intraoperative objective neuromuscular monitoring did not significantly affect overall rocuronium consumption but reduced it by approximately 20% in elderly patients (age ≥65 years) undergoing laparoscopic abdominal surgery.
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