EFFECT OF BODY COMPOSITION ON CISATRACURIUM EFFICIENCY
DOI:
https://doi.org/10.32461/2226-3209.3.2018.178836Abstract
Abstract: Measurement of body composition is proving increasingly important in clinical nutrition and research. In current study we investigated about the effect of body composition on cisatracurium efficiency. In this descriptive cross sectional study, 180 patients with elective non-cardiac surgery under general anesthesia with muscle relaxation and under ventilation with ventilator referred to Shahid Modarres Hospital were selected randomly from simple random sampling. Fat mass and muscle mass(BMI and TBW ) in patients, that measured by BODY COMPOSION ANALYZER set, was recorded and compared with duration of effect time of cisatracurium, extubation time, cisatracurium dose during oeration , recovery time, and onset time Correlation between quantitative variables was determined using Pearson correlation coefficient and Spearman rank tests for statistical analysis of data using SPSS 21 software. In this study p value<0.05 considered statistically significant. it was concluded that duration of effect time of cisatracurium, extubation time, recovery time, and onset time were decreased with increased muscle mass but the cisatracurium dose during operation was increased, in contrast duration of effect time of cisatracurium, extubation time, recovery time, and onset time were increased with increased fat mass but the cisatracurium dose during operation was decreased
References
Kyle UG, Schutz Y, Dupertuis YM, Pichard C.
Body composition interpretation: contributions of the fat-
free mass index and the body fat mass index. Nutrition.
;19(7-8):597-604.
Morgan DJ, Bray KM. Lean body mass as a
predictor of drug dosage. Clinical pharmacokinetics.
;26(4):292-307.
Wells J, Fewtrell M. Measuring body
composition. Archives of disease in childhood.
;91(7):612-7.
Reilly J, Wilson J, Durnin J. Determination of
body composition from skinfold thickness: a validation
study. Archives of Disease in childhood. 1995;73(4):305-
Pereira‐da‐Silva L, Dias MPG, Dionísio E,
Virella D, Alves M, Diamantino C, et al. Fat mass index
performs best in monitoring management of obesity in
prepubertal children. Jornal de Pediatria (Versão em
Português). 2016;92(4):421-6.
Wang Z, Deurenberg P, Wang W, Pietrobelli A,
Baumgartner RN, Heymsfield SB. Hydration of fat-free
body mass: review and critique of a classic body-
composition constant. The American journal of clinical
nutrition. 1999;69(5):833-41.
Newman AB, Kupelian V, Visser M, Simonsick
EM, Goodpaster BH, Kritchevsky SB, et al. Strength, but
not muscle mass, is associated with mortality in the
health, aging and body composition study cohort. The
Journals of Gerontology Series A: Biological Sciences
and Medical Sciences. 2006;61(1):72-7.
Lai H-C, Chan S-M, Lu C-H, Wong C-S,
Cherng C-H, Wu Z-F. Planning for operating room
efficiency and faster anesthesia wake-up time in open
major upper abdominal surgery. Medicine. 2017;96(7).
Kim JH, Lee YC, Lee SI, Park SY, Choi SR,
Lee JH, et al. Effective doses of cisatracurium in the
adult and the elderly. Korean journal of anesthesiology.
;69(5):453.
Park WY, Choi JC, Yun HJ, Jeon YG, Park G,
Choi JB. Optimal dose of combined rocuronium and
cisatracurium during minor surgery: A randomized trial.
Medicine. 2018;97(10).
Mentzelopoulos SD, Zakynthinos SG, Roussos
C, Tzoufi MJ, Michalopoulos AS. Prone position
improves lung mechanical behavior and enhances gas
exchange efficiency in mechanically ventilated chronic
obstructive pulmonary disease patients. Anesthesia &
Analgesia. 2003;96(6):1756-67.
Li J, Zou Q, Peng X. Pharmacokinetics of a
cisatracurium dose according to fat-free mass for
anesthesia induction in morbidly obese patients. Nan
fang yi ke da xue xue bao= Journal of Southern Medical
University. 2016;36(10):1396-400.
Salihoĝlu Z, Demiroluk S, Köse Y, Zengin K,
Taskin M, Gökay BV. Neuromuscular effects of
cisatracurium in morbidly obese patients. Middle East J
Anaesthesiol. 2008;19:831-9.
Janssen I, Heymsfield SB, Wang Z, Ross R.
Skeletal muscle mass and distribution in 468 men and
women aged 18–88 yr. Journal of applied physiology.
;89(1):81-8.
Chan W-H, Lee M-S, Lin C, Wu C-C, Lai H-C,
Chan S-M, et al. Comparison of anesthesia-controlled
operating room time between propofol-based total
intravenous anesthesia and desflurane anesthesia in open
colorectal surgery: a retrospective study. PloS one.
;11(10):e0165407.
Jung KT, Kim JW, Kim TK, An TH. A
comparison of the clinical duration and recovery
characteristics of cisatracurium after priming using
rocuronium or cisatracurium: preliminary study. Korean
journal of anesthesiology. 2014;66(1):18.
Breslin DS, Jiao K, Habib AS, Schultz J, Gan
TJ. Pharmacodynamic interactions between cisatracurium
and rocuronium. Anesthesia & Analgesia.
;98(1):107-10.
Mak PH, Irwin MG. The effect of cisatracurium
and rocuronium on cisatracurium precurarization and the
priming principle. Journal of clinical anesthesia.
;16(2):83-7.
Ahn B-R, Kim S-H, Yu B-S, Lim K-J, Sun J-J.
The effect of low dose ketamine and priming of
cisatracurium on the intubating condition and onset time
of cisatracurium. Korean journal of anesthesiology.
;63(4):308.
Kim S-H, So K-Y, Jung K-T. Effect of
magnesium sulfate pretreatment on onset and recovery
characteristics of cisatracurium. Korean journal of
anesthesiology. 2012;62(6):518.
Kirkegaard-Nielsen H, Helbo-Hansen HS,
Lindholm P, Severinsen IK, Pedersen HS.
Anthropometric variables as predictors for duration of
action of atracurium-induced neuromuscular block.
Anesthesia & Analgesia. 1996;83(5):1076-80.
Downloads
Issue
Section
License
Authors who publish with this journal agree to the following terms:
1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).