Effects of magnesium sulphate on the pharmacodynamics of rocuronium in patients aged 60 years and older: A randomised trial

BACKGROUND There is little information on the interaction between magnesium sulphate (MgSO4) and rocuronium in elderly patients. With a growing number of older patients who need surgical procedures, it is increasingly important to study this age group. OBJECTIVE To evaluate the effects of MgSO4 administration on the pharmacodynamics of rocuronium in patients aged 60 years or older. DESIGN A randomised controlled trial. SETTING A tertiary care hospital. PATIENTS Sixty-four patients, aged 60 years or older, American Society of Anesthesiologists (ASA) physical status classes I to III, scheduled for elective oncological head and neck surgery. Exclusion criteria were severe renal insufficiency (calculated creatinine clearance <30 ml min-1), preoperatorive serum magnesium concentration of more than 1.25 mmol l1 and patients receiving drugs known to affect neuromuscular function. INTERVENTIONS Patients were randomly allocated to one of two groups: in the magnesium group, patients received MgSO4 30mgkg1 intravenously, for 10 min, and then a continuous intravenous infusion at a rate of 1 g h-1. The control group received the same volume of physiological saline. Neuromuscular function was evaluated continuously in both groups. MAIN OUTCOME MEASURES Total recovery time was the primary outcome. Onset time, clinical duration, recovery index and recovery time were considered as secondary endpoints. Values are given as mean [SD]. RESULTS Total recovery time from neuromuscular block (NMB) was 113 [36] min in the magnesium group and 101 [39] min in the control group. Clinical duration was 69 [23] min in the magnesium group and 59 [28] min in the control group. Recovery index was 19 [36] min in the magnesium group and 17 [6] min in the control group. Recovery timewas 44 [22] min in the magnesium group and 42 [18] min in the control group. There were no statistically significant differences between the groups in any of the recovery indices. In the magnesium group, the mean onset time was 144 [58] s, significantly shorter than the onset time in the group that received physiological saline, which was 187 [90] s (P-0.03). Group variances were compared using an F test: onset time varied significantly less in the magnesium group (P-0.02). CONCLUSION In oncology patients of 60 or more years of age, preadministration of MgSO4, with the doses used in this study, significantly reduced the onset time of NMB induced by rocuronium. © 2013 European Society of Anaesthesiology.

Distribuição intragástrica de refeições com 60 ml e 180 ml: três segmentações proximal-distal empregando a cintilografia

Pós-graduação em Biologia Geral e Aplicada - IBB

Avaliação da resposta humoral e da capacidade de neutralização do soro de camundongos Swiss inoculados com venenos nativo e irradiado com cobalto-60 de serpentes Crotalus durissus terrificus, Bothrops jararaca, Bothrops jararacussu e Bothrops moojeni

Pós-graduação em Doenças Tropicais - FMB

Fecundidad y mortalidad infantil, urbana

La República de Panamá, a pesar de que su economía esta vinculada fundamentalmente al sector terciario, actividades que se concentran en la capital del país, presenta características eminentemente rurales. Poco mas de la mitad de la población reside en las 459 localidades rurales, en tanto que el resto lo hace en las localidades urbanas que son 46. Se ha comprobado un importante descenso tanto en la fecundidad como en la mortalidad en el pais, a partir de los anos 60, advirtiéndose diferenciales urbano-rurales. La TGF en el área urbana había llegado a 2.46 en 1986 (p6); en el área rural la disminucion fue de 6.5 en 1976 a 4.1 en 1986 (p8). La mortalidad infantil en 1986 se estimaba en 18.1 por mil en el área urbana y 20.5 por mil en la rural (p9). Se comentan algunos factores considerados como determinantes de la baja de la mortalidad y fecundidad, y de las diferencias observadas.

Televisão e música popular na década de 60: as vozes conflitantes de José Ramos Tinhorão e Augusto de Campos

Pós-graduação em Comunicação - FAAC

Atividade coagulante e da toxidade da giroxina nativa e irradiada com Cobalto-60 isolada do veneno de Crotalus durissus terrificus

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Emprego da sílica nanoestruturada SBA-15 como coadjuvante no processo de imunização de ovinos com veneno de Crotalus durissus terrificus total e irradiado com cobalto 60

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Perfil da ingestão de alimentos e de nutrientes relacionados à saúde óssea, de mulheres com mais de 60 anos, moradoras da cidade de Bauru, São Paulo

Pós-graduação em Fisiopatologia em Clínica Médica - FMB

História e guerrilha: entre a tradição rural e a prática urbana. O Brasil das décadas de 60 e 70 do século XX

Pós-graduação em História - FCHS

Guardiãs do saber: a memória das normalistas de Franca nas décadas de 60 e 80 do século XX

Pós-graduação em História - FCHS