Aim: We aimed to compare intubation with and without neuromuscular blocking agents with regard to intubation success, hemodynamic parameters, and postoperative recovery in Obstructive sleep apnea patients.
Materials and Methods: The study included 60 patients with a STOP-Bang (Snoring, Tiredness during daytime, Observed apnea, high blood Pressure, Body mass index, Age, Neck circumference, Gender) score of ≥3. The patients were randomly divided into two groups: (I) rocuronium group (Group E) and (II) remifentanil group (Group R). Group R received 4 mcg/kg remifentanil and Group E received 0.6 mg/kg rocuronium and then the patients intubation difficulty scale scores and their responses to train-of-four (TOF) nerve stimulation, and postoperative recovery were evaluated in both groups.
Results: The median time to recovery of the TOF ratio to 0 following anesthetic induction was significantly higher in Group R compared to Group E (p
Key words: Obstructive sleep apnea syndrome; intubation without muscle relaxants; postoperative recovery; stop bang tracheal intubation.
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