The current trend in most cardiac surgeries was to use rocuronium as it provides faster recovery in train-of-four ratio compared to other aminosteroid non-depolarising neuromuscular blocker. However, as most cardiac centres' standard of care does not perform any neuromuscular monitoring nor antagonism of neuromuscular blockade effect, residual neuromuscular blockade could potentially be the key to delayed extubation. As such, Cis-atracurium's organ-independent Hofmann elimination could be in favour.
Study Type
OBSERVATIONAL
Enrollment
289
Comparative
Comparative
Institut Jantung Negara
Kuala Lumpur, Malaysia
Incidence of postoperative pulmonary complication
Which neuromuscular relaxant is associated with lesser postoperative pulmonary complication
Time frame: 6 months
Ventilation hours in ICU
Ventilation hours from ICU admission from OR to extubation
Time frame: 6 months
Requirements for Non-invasive ventilation
NIV duration
Time frame: 6 months
Incidence of postoperative atrial fibrillation
Incidence of postoperative atrial fibrillation
Time frame: 6 months
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