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العنوان
Intraoperative motor evoked potential monitoring of facial nerve in patients undergoing cerebellopontine angle tumour resection using partial versus no neuromuscular block /
الناشر
Muhammad Magdy Gaber Elsaid ,
المؤلف
Muhammad Magdy Gaber Elsaid
هيئة الاعداد
باحث / Muhammad Magdy Gaber Elsaid
مشرف / Nasser Ahmed Fadel
مشرف / Hisham Abdel-Weahab Abdelwahab
مشرف / Amani Mahmoud Nawito
مشرف / Safinaz Hassan Ossman
تاريخ النشر
2020
عدد الصفحات
12 , 20 P . :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
التخدير و علاج الألم
تاريخ الإجازة
21/1/2020
مكان الإجازة
جامعة القاهرة - كلية الطب - Anesthesiology, SICU & Pain management
الفهرس
Only 14 pages are availabe for public view

from 122

from 122

Abstract

Intraoperative neurophysiological monitoring has been established as one of the paths by which modern neurosurgery can improve surgical results while minimizing morbidity. Preservation of facial nerve (FN) function is a well-recognized goal of tumour excision at the cerebellopontine angle (CPA). So, it is necessary to compare the operating condition of two different levels of muscle relaxation on facial nerve monitoring We performed a comparative study on 40 Patients aged from 18-60 years old, scheduled for Cerebellopontine angle surgery. The number is 40 patients (20 per group) to compensate for possible dropoutsThis study recommended that intravenous infusion of muscle relaxant had shortened the duration of anesthesia and recovery time without significant effect on facial nerve monitoring end to start MEP amplitude ratio. Also, they decreased the doses of propofol needed for deep anesthesia.Regarding the comparison between the two study groups, it was founded that there was no significant difference between the effect of the muscle relaxant regarding hemodynamic stability, other drug doses as fentanyl, ephedrine or atropine and the duration of surgery