Soyalp, CelaleddinGülhaş, NurçinYüzkat, NureddinTuncdemir, Yunus Emre2025-05-102025-05-1020192636-768810.5455/annalsmedres.2019.06.337https://doi.org/10.5455/annalsmedres.2019.06.337https://search.trdizin.gov.tr/en/yayin/detay/317787/effects-of-tracheal-intubation-without-muscle-relaxants-on-postoperative-recovery-conditions-in-patients-with-obstructive-sleep-apnea-a-double-blind-randomized-controlled-studyhttps://hdl.handle.net/20.500.14720/18304Aim: We aimed to compare intubation with and without neuromuscular blocking agents with regard to intubation success,hemodynamic parameters, and postoperative recovery in Obstructive sleep apnea patients.Materials and Methods: The study included 60 patients with a STOP-Bang (Snoring, Tiredness during daytime, Observed apnea,high blood Pressure, Body mass index, Age, Neck circumference, Gender) score of ≥3. The patients were randomly divided into twogroups: (I) rocuronium group (Group E) and (II) remifentanil group (Group R). Group R received 4 mcg/kg remifentanil and Group Ereceived 0.6 mg/kg rocuronium and then the patients’ intubation difficulty scale scores and their responses to train-of-four (TOF)nerve stimulation, and postoperative recovery were evaluated in both groups.Results: The median time to recovery of the TOF ratio to 0 following anesthetic induction was significantly higher in Group Rcompared to Group E (p<0.001). The overall incidences of postoperative sore throat and hoarseness were remarkably high (p<0.002and p<0.001, respectively). The numbers of patients with relaxed vocal cords and complete jaw relaxation were significantly higherin Group E compared to Group R (p<0.001).Conclusion: The results indicated that rocuronium provides better intubation conditions and leads to less peri- and post-operativecomplications compared to remifentanil.eninfo:eu-repo/semantics/openAccessTıbbi Araştırmalar DeneyselAnesteziGenel Ve Dahili TıpArticle268N/AN/A16581665317787