2015–2017 | 2018–2019 | |||||
---|---|---|---|---|---|---|
Spontaneous recovery | Sugammadex | Total | Spontaneous recovery | Sugammadex | Total | |
Surgical specialty | 7932 (88%) | 1105 (12%) | 9037 (100%) | 4549 (82%) | 1006 (18%) | 5555 (100%) |
General surgery | 2049 (84%) | 377 (16%) | 2426 (27%) | 1094 (76%) | 355 (24%) | 1449 (26%) |
Gynecologic surgery | 760 (86%) | 124 (14%) | 884 (10%) | 387 (78%) | 106 (22%) | 493 (9%) |
Urological surgery | 765 (75%) | 255 (25%) | 1020 (11%) | 416 (65%) | 221 (35%) | 637 (11%) |
Lung surgery | 26 (81%) | 6 (19%) | 32 (0%) | 20 (74%) | 7 (26%) | 27 (0%) |
Orthopaedic surgery | 780 (90%) | 83 (10%) | 863 (10%) | 412 (85%) | 75 (15%) | 487 (9%) |
Plastic surgery | 445 (93%) | 31 (7%) | 476 (5%) | 318 (90%) | 35 (10%) | 353 (6%) |
Neuro surgery | 1093 (92%) | 100 (8%) | 1193 (13%) | 688 (87%) | 100 (13%) | 788 (14%) |
Ear, nose and throat surgery | 1141 (94%) | 68 (6%) | 1209 (13%) | 621 (93%) | 50 (7%) | 671 (12%) |
Oral and maxillofacial surgery | 740 (95%) | 41 (5%) | 781 (9%) | 503 (93%) | 37 (7%) | 540 (10%) |
Eye surgery | 77 (90%) | 9 (10%) | 86 (1%) | 29 (78%) | 8 (22%) | 37 (1%) |
Radio therapy | 16 (94%) | 1 (6%) | 17 (0%) | 32 (97%) | 1 (3%) | 33 (1%) |
Other specialty | 40 (80%) | 10 (20%) | 50 (1%) | 29 (73%) | 11 (28%) | 40 (1%) |
Open abdominal | 1419 (18%) | 341 (31%) | 1.760 (19%) | 731 (16%) | 299 (30%) | 1030 (19%) |
Laparoscopic abdominal | 747 (10%) | 145 (13%) | 892 (10%) | 315 (7%) | 142 (14%) | 457 (8%) |
Emergency surgery | 1194 (15%) | 283 (26%) | 1477 (16%) | 698 (15%) | 294 (29%) | 992 (18%) |
Time in the OR in minutes mean; median (IQR) | 192; 155 (110; 223) | 151; 131 (83; 192) | 187; 152 (106; 217) | 197; 166 (115; 237) | 155; 129 (89; 194) | 189; 158 (108; 227) |
NMT monitoring used | 3380 (43%) | 846 (77%) | 4226 (47%) | 2590 (57%) | 948 (94%) | 3538 (64%) |
No (documented) NMT monitoring | 4552 (57%) | 259 (23%) | 4811 (53%) | 1959 (43%) | 58 (6%) | 2017 (36%) |
PTC measured | 125 (2%) | 84 (8%) | 209 (2%) | 100 (2%) | 68 (7%) | 168 (3%) |
Extubation in OR | 7058 (89%) | 1062 (96%) | 8120 (90%) | 4210 (93%) | 998 (99%) | 5208 (94%) |
TOFR 1.0 or more at extubation | 997 (14%) | 280 (26%) | 1277 (16%) | 1113 (26%) | 386 (39%) | 1499 (29%) |
TOFR 0.9–1.0 at extubation | 481 (7%) | 111 (10%) | 592 (7%) | 594 (14%) | 178 (18%) | 772 (15%) |
TOFR < 0.9 or only qualitative NMT monitor at extubation | 1874 (27%) | 455 (43%) | 2329 (29%) | 873 (21%) | 384 (38%) | 1257 (24%) |
No NMT data in anaesthesia record | 3706 (53%) | 216 (20%) | 3922 (48%) | 1630 (39%) | 50 (5%) | 1680 (32%) |
No NMT data in anaesthesia record, and no sugammadex | 3706 (46%) | 1630 (31%) | ||||
Rocuronium total dose in mg mean; median (IQR) | 48; 40 (30; 60) | 60; 50 (40; 80) | 50; 40 (30; 60) | 46; 40 (30; 50) | 60; 50 (40; 80) | 48; 40 (30; 60) |
Rocuronium total dose in ED95 equivalents (0.31 mg/kg ABW) mean; median (IQR) | 2.0; 1.7 (1.2; 2.4) | 2.5; 2.0 (1.4; 3.4) | 2.1; 1.7 (1.3; 2.6) | 1.9; 1.7 (1.2; 2.3) | 2.5; 2.2 (1.5; 3.2) | 2.0; 1.7 (1.3; 2.6) |
Sugammadex total dose in mg mean; median (IQR) | 210; 200 (200; 200) | 169; 200 (100; 200) | ||||
Sugammadex total dose in mg/kg ABW mean; median (IQR) | 2.7; 2.4 (1.9; 3.0) | 2.1; 2.0 (1.3; 2.7) | ||||
Magnesium chloride co-administration | 365 (5%) | 45 (4%) | 410 (5%) | 139 (3%) | 35 (3%) | 174 (3%) |
Use of inhalational anaesthetic | 3469 (44%) | 485 (44%) | 3954 (44%) | 3644 (80%) | 885 (88%) | 4529 (82%) |