Association of neuromuscular reversal drug with postoperative pulmonary complications in bronchoscopy: definitional challenges.

IF 9.1 1区医学 Q1 ANESTHESIOLOGY

British journal of anaesthesia Pub Date : 2025-05-09 DOI:10.1016/j.bja.2025.04.005

Douglas A Colquhoun,Ana Fernandez-Bustamante

引用次数: 0

Abstract

A recent retrospective study examined a composite of postoperative pulmonary complications after neostigmine or sugammadex for reversal of neuromuscular block in patients undergoing interventional pulmonology and bronchoscopic procedures. This study reviewed the electronic medical records of 8557 patients across hospitals within a single health system, finding an increased risk of a composite of postoperative pulmonary complications in those receiving sugammadex (odds ratio 1.44; 95% confidence interval: 1.02-2.05). We discuss the challenge of interpreting conflicting findings in the contemporary perioperative literature arising from heterogeneous definitions of postoperative pulmonary complications.

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神经肌肉逆转药物与支气管镜术后肺部并发症的关系：定义的挑战。

最近的一项回顾性研究调查了在接受介入肺科和支气管镜手术的患者中，新斯的明或糖麦德用于神经肌肉阻滞逆转后的术后肺部并发症。本研究回顾了单一卫生系统内各医院8557例患者的电子病历，发现接受sugammadex治疗的患者术后肺部并发症的综合风险增加(优势比1.44；95%置信区间：1.02-2.05)。我们讨论了解释当代围手术期文献中由于术后肺部并发症的不同定义而产生的相互矛盾的发现的挑战。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

British journal of anaesthesia 医学-麻醉学

CiteScore

13.50

自引率

7.10%

发文量

488

审稿时长

27 days

期刊介绍： The British Journal of Anaesthesia (BJA) is a prestigious publication that covers a wide range of topics in anaesthesia, critical care medicine, pain medicine, and perioperative medicine. It aims to disseminate high-impact original research, spanning fundamental, translational, and clinical sciences, as well as clinical practice, technology, education, and training. Additionally, the journal features review articles, notable case reports, correspondence, and special articles that appeal to a broader audience. The BJA is proudly associated with The Royal College of Anaesthetists, The College of Anaesthesiologists of Ireland, and The Hong Kong College of Anaesthesiologists. This partnership provides members of these esteemed institutions with access to not only the BJA but also its sister publication, BJA Education. It is essential to note that both journals maintain their editorial independence. Overall, the BJA offers a diverse and comprehensive platform for anaesthetists, critical care physicians, pain specialists, and perioperative medicine practitioners to contribute and stay updated with the latest advancements in their respective fields.