Pharmacodynamics of Rocuronium by Target-Controlled Infusion in Elderly and Adult Patients during Laparoscopy Operation / 中国微创外科杂志

ABSTRACT

Objective To investigate the pharmacodynamics of rocuronium by targeted-controlled infusion(TCI)during laparoscopy in elderly and adult patients.Methods A total of 31 patients undergoing selective laparoscopy operation from the Department of Gynecology and Department of General Surgery were divided into elderly group(aged 65-81 years,n=17)and adults group(aged 18-55 years,n=14).Under general anesthesia,rocuronium was infused intravenously using a TCI system.The upper limb without intravenous infusion was employed for TOF.The target plasma concentration(Cpt)was started from 1.0 ?g/ml,and then increased to 1.3,1.6,1.9,2.2,and 2.5 ?g/ml successively according to the neuromuscular response to the TOF stimulation.The endpoint of Cpt was determined when the T1 was blocked by 90%-95%.After terminating the infusion,the time to recovery of T1 to 25%,TOF ratio to 0.7,and recovery of index were recorded.T1 scales with each Cpt and the rates of rocuronium infusion were also recorded.Results T1 scales with each Cpt were significantly lower in the elderly patients than those in the adults(P