Anest. intenziv. Med. 2012;23(1):14-20

Kardiorelax 2011 - a five-day observational study of neuromuscular blockade during adult cardiac surgery in the Czech RepublicAnaesthesiology - Original Paper

Hájek Roman^1,*, Adámek Petr², Derych Leo³, Horáček Michal⁴, Jehlička Pavel⁵, Kameník Vladimír⁶, Leitgeb Marián⁷, Mokrejš Jiří⁸, Říha Hynek⁹, Samek Jindřich¹⁰, Schichel Tomáš¹¹, Turek Zdeněk¹⁰, Vaněk Tomáš¹²

¹ Kardiochirurgická klinika, LF Univerzity Palackého a Fakultní nemocnice Olomouc

² Centrum kardiovaskulární a transplantační chirurgie, Brno

³ Kardiochirurgické oddělení, Nemocnice Podlesí, a. s., Třinec

⁴ Klinika anesteziologie, resuscitace a intenzivní medicíny, 2. LF Univerzity Karlovy a Fakultní nemocnice Motol, Praha

⁵ Kardiocentrum, Nemocnice Na Homolce, Praha

⁶ Klinika anesteziologie, resuscitace a intenzivní medicíny, 1. LF Univerzity Karlovy a Všeobecná fakultní nemocnice, Praha

⁷ Kardiocentrum, Nemocnice, a. s., České Budějovice

⁸ Kardiochirurgické oddělení, Fakultní nemocnice Plzeň

⁹ Klinika anesteziologie a resuscitace, Kardiocentrum, IKEM Praha

¹⁰ Klinika anesteziologie, resuscitace a intenzivní medicíny, LF Univerzity Karlovy a Fakultní nemocnice Hradec Králové

¹¹ Kardiochirurgické centrum, Fakultní nemocnice Ostrava

¹² Kardiochirurgická klinika, 3. LF Univerzity Karlovy a Fakultní nemocnice Královské Vinohrady, Praha

Objective:
To obtain data about the use of neuromuscular blocking agents (NMBAs) during general anaesthesia in adult patients undergoing cardiac surgery in the Czech Republic.

Design:
A five-day, prevalence, questionnaire study.


Setting:
All cardiac anesthesia departments that registered before the study date.

Materials and methods:
Patients whose anesthetic care was provided between June 6 (7 AM) and June 11 (7 AM) were enrolled. Data of each patient were entered into a web-based questionnaire and information relevant to neuromuscular blockade was collected.

Results:
During the study period, 183 patients (173 on cardiopulmonary bypass) were anesthetized. Tracheal intubation (172 patients) was facilitated most often by non-depolarizing NMBAs: rocuronium (31.1%), pancuronium (16.9%), atracurium (14.8%), cisatracurium (13.7%), and suxamethonium 2.2%. Neuromuscular blockade was maintained most frequently with rocuronium (24.0%), cisatracurium (15.8%), pancuronium (12.0%), atracurium (14.8%), and vecuronium (11.5%). Neuromuscular blockade was not reversed in any patient. Monitoring of neuromuscular blockade was not used in any patient.

Conclusion:
For induction and maintenance of neuromuscular blockade, predominantly intermediate NMBAs were used. In the Czech Republic, neither neuromuscular blockade monitoring nor pharmacological reversal is used during cardiac surgery in adult patients.

Keywords: questionnaire survey; neuromuscular blockade; cardiac surgery; neuromuscular blocking agent; reversal; monitoring

Received: December 16, 2012; Accepted: January 15, 2012; Published: February 1, 2012  Show citation