Comparison of Pre and Postoperative Eosinophil/ Lymphocyte and Basophil/Lymphocyte Ratio in Patients of Radical Robotic Prostatectomy who were Administered Sugammadex for the Reversal of Neuromuscular Blockade

Volume: 6 Number: 1 January 1, 2020
  • Ozkan Gorgulu
  • Bora Dınc
  • Zeki Ertug
TR EN

Comparison of Pre and Postoperative Eosinophil/ Lymphocyte and Basophil/Lymphocyte Ratio in Patients of Radical Robotic Prostatectomy who were Administered Sugammadex for the Reversal of Neuromuscular Blockade

Abstract

Objective: Sugammadex is a new agent that is increasingly used in the recovery of neuromuscular blockade in anesthesiology practice. It has significant benefits, but is not risk-free. The most important side effect is hypersensitivity. Since the ratio of eosinophil and basophil to lymphocyte ELR and BLR is suggested to be clinically appropriate in cases of hypersensitivity, it has been assumed that sugammadex reflects allergic character in ELR and / or BLR. In order to evaluate this hypothesis, we aimed to compare the preoperative and postoperative ELR and NLR of the patients. Material and Methods: ASA I-II patients undergoing elective robotic radical prostatectomy were included in the study. Patient data were generated by scanning the electronic patient data system SARUS . ELR and BLR were calculated from whole blood counts. Results: A total of 46 patients mean age 64.06±6.4 years were included. ELR decreased significantly p

Keywords

References

  1. 1. Bom A, Bradley M, Cameron K, Clark JK, Van Egmond J, Feilden H, MacLean EJ, Muir AW, Palin R, Rees DC, Zhang MQ. A novel concept of reversing neuromuscular block: chemical encapsulation of rocuronium bromide by a cyclodextrin-based synthetic host. Angew Chem Int Ed Engl 2002;41(2):266-70.
  2. 2. Suy K, Morias K, Cammu G, Hans P, van Duijnhoven WG, Heeringa M, Demeyer I. Effective reversal of moderate rocuronium- or vecuronium-induced neuromuscular block with sugammadex, a selective relaxant binding agent. Anesthesiology 2007;106(2):283-8.
  3. 3. Sorgenfrei IF, Norrild K, Larsen PB, Stensballe J, Ostergaard D, Prins ME, Viby-Mogensen J. Reversal of rocuronium-induced neuromuscular block by the selective relaxant binding agent sugammadex: A dose-finding and safety study. Anesthesiology 2006;104(4):667-74.
  4. 4. Lee C, Jahr JS, Candiotti KA, Warriner B, Zornow MH, Naguib M. Reversal of profound neuromuscular block by sugammadex administered three minutes after rocuronium: A comparison with spontaneous recovery from succinylcholine. Anesthesiology 2009;110(5):1020-5.
  5. 5. Park JY. Benefits and risks of sugammadex. Korean J. Anesthesiol 2015;68(1):1-2.
  6. 6. Craig RG1, Hunter JM. Neuromuscular blocking drugs and their antagonists in patients with organ disease. Anaesthesia 2009;64(1):55-65.
  7. 7. Valent P, Gleich GJ, Reiter A, Roufosse F, Weller PF, Hellmann A, Metzgeroth G, Leiferman KM, Arock M, Sotlar K, Butterfield JH, Cerny-Reiterer S, Mayerhofer M, Vandenberghe P, Haferlach T, Bochner BS, Gotlib J, Horny HP, Simon HU, Klion AD. Pathogenesis and classification of eosinophil disorders: A review of recent developments in the field. Expert Rev Hematol 2012;5(2):157-76.
  8. 8. Tahamiler R, Yener M, Çanakçıoğlu S. Alerjik rinitli hastalarda serum ve nazal eozinofilik katyonik proteinin immünoterapi etkinliğinin değerlendirilmesindeki rolü. Kulak Burun Boğaz Ihtis Derg 2006;16(4):155-9.

Details

Primary Language

English

Subjects

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Journal Section

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Authors

Ozkan Gorgulu This is me

Bora Dınc This is me

Zeki Ertug This is me

Publication Date

January 1, 2020

Submission Date

-

Acceptance Date

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Published in Issue

Year 2020 Volume: 6 Number: 1

Vancouver
1.Ozkan Gorgulu, Bora Dınc, Zeki Ertug. Comparison of Pre and Postoperative Eosinophil/ Lymphocyte and Basophil/Lymphocyte Ratio in Patients of Radical Robotic Prostatectomy who were Administered Sugammadex for the Reversal of Neuromuscular Blockade. Akd Med J [Internet]. 2020 Jan. 1;6(1):42-6. Available from: https://izlik.org/JA89BF68GL