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Neurological physical exam is a very important outcome that should be evaluated as soon as possible after every lumbar procedures. The aim of this study was to evaluate the neurological physical examination time after lumbar procedures.
Neurological physical exam is a very important outcome that should be evaluated as soon as possible after every lumbar procedures. By that early postoperative neurological complications can be revealed and early interventions planned. The aim of this study was to evaluate the neurological physical examination time after lumbar procedures. Two routinely used different reversal agents (neostigmine or sugammadex) were compared according reversal times and muscle strength on PACU admission.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group S | Group S: Group sugammadex Patients in this group received sugammadex at the end of the surgery, as neuromuscular reversal agent. Neurological physical exam time was recorded. |
| |
| Group N | Group N: Group Neostigmine Patients in this group received neostigmine at the end of the surgeryas neuromuscular reversal agent. Neurological physical exam time was recorded. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Neurological physical exam | Diagnostic Test | Neurological physical exam is performed in all patients at the OR table, immediately after the operation. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Neurological physical examination time | Neurological physical examination time | postoperative first 30 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| Muscle strength at PACU transfer | Muscle strength at PACU transfer (evaluated with a 5 point scale) 0/5: no contraction in muscles 1/5: muscle flicker but no movement 2/5: movement possible bıt not against gravity (test the joint in its horizontal plane) 3/5: moment possible against gravity but not against resistance by the examiner 4/5: movement possible against resistance by the examiner 5/5: normal strength |
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Inclusion Criteria:
Exclusion Criteria:
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All lumbar surgeries performed during the study period were enrolled in the study.
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| Name | Affiliation | Role |
|---|---|---|
| Basak Ceyda MECO, MD | Ankara University Faculty of Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ankara University Faculty of Medicine | Ankara | Turkey (Türkiye) |
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| postoperative first 60 minutes |