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| The Use of Muscle Relaxation Monitoring during Laparoscopic Sleeve Gastrectomy in Obese Patients |
| Wang hao, Long yun |
| The Affiliated Jiangning Hospital to Nanjing Medical University,Nanjing 211100,China |
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Abstract Objective to explore and analyse the application effect of muscle relaxation monitoring in guiding intraoperative deep muscle relaxation during laparoscopic sleeve gastrectomy and postoperative extubation in obese patients. Methods 80 obese patients treated in our hospital from January 2022 to November 2023 were selected,all of whom were proposed to undergo laparoscopic sleeve gastrectomy.The patients were divided into the control group（conventional monitoring mode）and the observation group（muscle relaxation monitoring）,with 40 cases,and the application effects of different monitoring modes were analyzed. Results The total amount of muscarinic drugs used,postoperative awakening time,postoperative extubation time,end surgery（T2）lactate,leaving the anaesthesia recovery room（T3）lactate,blood glucose at 60min of surgery（T1）,end surgery（T2）blood glucose,leaving the anaesthesia recovery room（T3）blood glucose,and the total incidence of hypoxemia in the observation group were lower than those in the control group（P<0.05）. Conclusion It is worth recommending that obese patients undergoing laparoscopic sleeve gastrectomy be treated with muscle relaxation monitoring to ensure smooth perioperative blood glucose and lactic acid management,guide intraoperative deep myosin,minimize intraoperative myosin drug dosage,shorten postoperative awakening and extubation times,and lower the risk of postoperative hypoxemia.
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Received: 08 October 2023
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2024, Vol. 44 
