Recuperación neuromuscular evaluada mediante Train-of-Four en cirugía estética bajo anestesia general con rocuronio frente a cisatracurium en la detección de relajación residual
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Fecha
2025
Autores
Dagil Chinchia, Ana Milena
Ruiz Pastrana, Karen Lucia
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Ediciones Universidad Simón Bolívar
Facultad de Ciencias de la Salud
Facultad de Ciencias de la Salud
Resumen
La relajación neuromuscular residual continúa siendo una complicación relevante en anestesia general, especialmente en cirugía estética, donde los procedimientos prolongados y el sobrepeso aumentan el riesgo de eventos respiratorios postoperatorios. Aunque rocuronio y cisatracurium son los bloqueadores neuromusculares más utilizados, la evidencia comparativa sobre su recuperación medida mediante Train-of-Four (TOF) en población estética latinoamericana es limitada.
Objetivo: Comparar la recuperación neuromuscular evaluada mediante Train-ofFour en pacientes sometidas a cirugía estética bajo anestesia general con rocuronio frente a cisatracurium, determinando la incidencia de relajación neuromuscular residual (TOF < 0.9) y los factores clínicos y anestésicos asociados en el postoperatorio inmediato.
Residual neuromuscular blockade remains a relevant complication in general anesthesia, particularly in aesthetic surgery, where prolonged procedures and overweight increase the risk of postoperative respiratory events. Although rocuronium and cisatracurium are the most widely used neuromuscular blockers, comparative evidence on their recovery profiles measured by Train-of-Four (TOF) in Latin American aesthetic surgery populations is limited. Objective: To compare neuromuscular recovery assessed by Train-of-Four in patients undergoing aesthetic surgery under general anesthesia with rocuronium versus cisatracurium, determining the incidence of residual neuromuscular blockade (TOF < 0.9) and the associated clinical and anesthetic factors in the immediate postoperative period.
Residual neuromuscular blockade remains a relevant complication in general anesthesia, particularly in aesthetic surgery, where prolonged procedures and overweight increase the risk of postoperative respiratory events. Although rocuronium and cisatracurium are the most widely used neuromuscular blockers, comparative evidence on their recovery profiles measured by Train-of-Four (TOF) in Latin American aesthetic surgery populations is limited. Objective: To compare neuromuscular recovery assessed by Train-of-Four in patients undergoing aesthetic surgery under general anesthesia with rocuronium versus cisatracurium, determining the incidence of residual neuromuscular blockade (TOF < 0.9) and the associated clinical and anesthetic factors in the immediate postoperative period.
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Palabras clave
Relajación neuromuscular residual, Rocuronio, Cisatracurium, Cirugía estética, Monitoreo neuromuscular, Anestesia general
