Postoperative residual curarization

When neuromuscular blockade rest, postoperative Restcurarisierung ( PORC ) or Relaxansüberhang referred to an undesirable residual effect of certain anesthetic agents ( muscle relaxants ) after the end of surgery. It increases the risk of postoperative complications involving the lung.

Due to the incomplete muscle function expectoration of mucus and saliva is difficult, so that it can come to unnoticed swallowed in small amounts of bacteria- contaminated mucus throat into the lungs ( micro-aspiration ). Through this microaspiration usually develop only after days bronchial inflammation or pneumonia. It is estimated that quadrupled by an untreated Relaxansüberhang the risk of pneumonia after surgery ..

A PORC is a long-acting frequently observed after application than after medium-acting muscle relaxants. Some other medications such as inhalation and local anesthetics, corticosteroids, magnesium and some antibiotics lead to a prolonged neuromuscular blockade. In the period between 1995 and 2004, the use of quantitative methods of measurement ( neuromuscular monitoring) has increased for the PORC and decreased the incidence of PORC itself.

Swell

• Condition or complication in anesthesia
• Peripheral muscle relaxant