The effect of neuromuscular agent on postoperative shivering in patients undergoing retrograde intrarenal surgery: A randomized controlled clinical trial

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dc.authorscopusid56494588500
dc.authorscopusid37100466700
dc.authorscopusid57060502100
dc.contributor.authorBaran, Ilkay
dc.contributor.authorOksar, Menekse
dc.contributor.authorAltinsoy, Savas
dc.date.accessioned2024-09-19T15:45:20Z
dc.date.available2024-09-19T15:45:20Z
dc.date.issued2019
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractObjective: Shivering, and active movements, are very effective mechanisms for heat generation and warming in ambulatory mobile patients with open conscious. This study aimed to test the hypothesis that intraoperative hypothermia and postoperative shivering may be present in adults for whom neuromuscular blocker (NMB) was used during general anesthesia. Method: Eighty patients who underwent retrograde intrarenal surgery (RIRS) were randomly divided into two groups as those receiving or not receiving neuromuscular blocking agent (NMB) [Group R (NMB+), N=40; Group K (control), N=40)]. Laryngeal mask (LMA) was used for airway control in all patients and a standard anesthetic protocol was performed except for NMB administration. Data obtained from the monitoring of skin and internal temperatures and shivering tests were performed prior to anesthesia induction (t0), when NMB was delivered (t1), intraoperative 15 (t2), 30 (t3), and 60 (t4) and postoperative 0 (t5), 10 (t6), 15 (T7), 30 (t8), and 60 (t9) minutes. Results: In group R, at t0, t1, t2, t3 and t5 skin temperatures were significantly higher than group K, but there was no difference between the groups in terms of internal temperatures (t5, t6 and t7 in those who have tremors in group R were significantly higher than group K (Chi-Square p<0.05). In both groups, there is a statistically significant difference in skin temperature compared to t0. Accordingly, there was a significant difference in t7,8,9 in Group K and t1 in group R relative to t0. In Group R, the internal temperature was significantly lower in t3 than in t2, and t3, while in group K was significantly lower than t1 and t2. Conclusion: An understanding of postoperative shivering and the mechanisms that cause it is an important issue. A possible association with the use of neuromuscular blocker over hypothermia is worth investigating for patients with intraoperative heat management and low respiratory and cardiac reserve. The data obtained from this study did not support a relationship between NMB use and intraoperative hypothermia, but clearly showed a relationship with postoperative shivering. However, there is a need to study the possible effects of neuromuscular blockers on body temperature and peripheral defense mechanisms perhaps also on central mechanisms in adults. © Copyright Association of Anesthesiologists and Reanimation Specialists.en_US
dc.identifier.doi10.5222/jarss.2019.47955
dc.identifier.endpage55en_US
dc.identifier.issn1300-0578
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-85067435458en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage51en_US
dc.identifier.urihttps://doi.org/10.5222/jarss.2019.47955
dc.identifier.urihttps://hdl.handle.net/20.500.12483/14591
dc.identifier.volume27en_US
dc.indekslendigikaynakScopusen_US
dc.language.isotren_US
dc.publisherAnestezi Dergisien_US
dc.relation.ispartofAnestezi Dergisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectBody temperatureen_US
dc.subjectGeneral anesthesiaen_US
dc.subjectHypothermiaen_US
dc.subjectNeuromuscular blockeren_US
dc.subjectPostoperative shiveringen_US
dc.titleThe effect of neuromuscular agent on postoperative shivering in patients undergoing retrograde intrarenal surgery: A randomized controlled clinical trialen_US
dc.title.alternativeRetrograt Intrarenal Cerrahi Geçiren Hastalarda Nöromuskuler Ajan Kullaniminin Postoperatif Titreme Üzerine Etkisi: Randomize Kontrollü Klinik Çalismaen_US
dc.typeArticleen_US

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