Saudi Journal of Anaesthesia

ORIGINAL ARTICLE
Year
: 2013  |  Volume : 7  |  Issue : 2  |  Page : 146--150

A survey of the current use of neuromuscular blocking drugs among the Middle Eastern anesthesiologists


Abdelazeem Eldawlatly1, Mohamed R El-Tahan2, MMM-Anaesthesia Group Collaborators4 
1 Department of Anesthesia, College of Medicine, King Saud University, Riyadh, KSA
2 Department of Anesthesia, College of Medicine, University of Dammam, Dammam, KSA; Department of Anesthesia, College of Medicine, Mansoura University, Mansoura, Egypt

Correspondence Address:
Abdelazeem Eldawlatly
Department of Anesthesia, College of Medicine, King Saud University Riyadh, KSA

Background: This survey aimed to assess the extent of practice of the Middle Eastern anesthesiologists in the use of neuromuscular blocking agents (NMB) in 2012. Methods: We distributed an electronic survey among 577 members of the Triple-M Middle Eastern Yahoo anesthesia group, enquiring about their practice in the use of neuromuscular blocking agents. Questions concerned the routine źDQ╗first choiceźDQ╗ use of NMB, choice for tracheal intubation, the use of neuromuscular monitoring (NMT), type of NMB used in difficult airway, frequency of using suxamethonium, cisatracurium, rocuronium and sugammadex, observed side effects of rocuronium, residual curarization, and the reversal of residual curarization of rocuronium. Results: A total of 71 responses from 22 Middle Eastern institutions were collected. Most of the Middle Eastern anesthesiologists were using cisatracurium and rocuronium frequently for tracheal intubation (39% and 35%, respectively). From the respondents, 2/3 were using suxamethonium for tracheal intubation in difficult airway, 1/3 were using rocuronium routinely and 17% have observed hypersensitivity reactions to rocuronium, 54% reported residual curarization from rocuronium, 78% were routinely using neostigmine to reverse the rocuronium, 21% used sugammadex occasionally, and 35% were using NMT routinely during the use of NMB. Conclusions: We believe that more could be done to increase the awareness of the Middle Eastern anesthesiologists about the high incidence of PROC (>20%) and the need for routine monitoring of neuromuscular function. This could be accomplished with by developing formal training programs and providing official guidelines.


How to cite this article:
Eldawlatly A, El-Tahan MR, MA. A survey of the current use of neuromuscular blocking drugs among the Middle Eastern anesthesiologists.Saudi J Anaesth 2013;7:146-150


How to cite this URL:
Eldawlatly A, El-Tahan MR, MA. A survey of the current use of neuromuscular blocking drugs among the Middle Eastern anesthesiologists. Saudi J Anaesth [serial online] 2013 [cited 2022 May 16 ];7:146-150
Available from: https://www.saudija.org/article.asp?issn=1658-354X;year=2013;volume=7;issue=2;spage=146;epage=150;aulast=Eldawlatly;type=0