{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T22:33:10Z","timestamp":1785364390326,"version":"3.55.0"},"reference-count":33,"publisher":"Akademiai Kiado Zrt.","issue":"15","license":[{"start":{"date-parts":[[2024,4,14]],"date-time":"2024-04-14T00:00:00Z","timestamp":1713052800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2024,4,14]]},"abstract":"<jats:p><jats:italic>Bevezet\u00e9s:<\/jats:italic> Amennyiben az aneszt\u00e9zia sor\u00e1n alkalmazott\n                    izomrelax\u00e1nsok hat\u00e1sa a m\u0171t\u00e9t v\u00e9gezt\u00e9vel nem sz\u0171nik meg, posztoperat\u00edv\n                    residualis neuromuscularis blokkr\u00f3l besz\u00e9l\u00fcnk, amely s\u00falyos sz\u00f6v\u0151dm\u00e9nyek forr\u00e1sa\n                    lehet. A residualis blokk diagnosztiz\u00e1l\u00e1sa kvantitat\u00edv neuromuscularis monitorok\n                    alkalmaz\u00e1s\u00e1val lehets\u00e9ges megb\u00edzhat\u00f3an. 2016-ban a magyar aneszteziol\u00f3gusok\n                    k\u00f6r\u00e9ben k\u00e9rd\u0151\u00edves felm\u00e9r\u00e9s k\u00e9sz\u00fclt a monitoroz\u00e1si \u00e9s felf\u00fcggeszt\u00e9si szok\u00e1sokr\u00f3l.\n                        <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic> C\u00e9lul t\u0171zt\u00fck ki annak vizsg\u00e1lat\u00e1t, hogy az\n                    elm\u00falt hat \u00e9v sor\u00e1n alkalmazott k\u00e9pz\u00e9si programok hat\u00e1s\u00e1ra t\u00f6rt\u00e9nt-e v\u00e1ltoz\u00e1s a\n                    monitoroz\u00e1s \u00e9s felf\u00fcggeszt\u00e9s ter\u00e9n. <jats:italic>M\u00f3dszer:<\/jats:italic> 10 k\u00e9rd\u00e9sb\u0151l \u00e1ll\u00f3,\n                    online kit\u00f6lthet\u0151 k\u00e9rd\u0151\u00edvet k\u00e9sz\u00edtett\u00fcnk a Google Forms szoftver alkalmaz\u00e1s\u00e1val,\n                    melyet a Magyar Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s T\u00e1rsas\u00e1g seg\u00edts\u00e9g\u00e9vel\n                    juttattunk el a hazai aneszteziol\u00f3gusokhoz. 7 k\u00e9rd\u00e9s teljesen megegyezett a\n                    2016-os k\u00e9rd\u0151\u00edv k\u00e9rd\u00e9seivel, 1 k\u00e9rd\u00e9sn\u00e9l egy plusz v\u00e1laszlehet\u0151s\u00e9get adtunk meg,\n                    \u00e9s 2 \u00faj k\u00e9rd\u00e9st fogalmaztunk meg. A statisztikai elemz\u00e9st\n                    khi<jats:sup>2<\/jats:sup>-teszttel v\u00e9gezt\u00fck. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> A k\u00e9rd\u0151\u00edv 2022.\n                    okt\u00f3ber 4-t\u0151l december 31-ig volt el\u00e9rhet\u0151. \u00d6sszesen 132 v\u00e1lasz \u00e9rkezett. A\n                    felm\u00e9r\u00e9sben r\u00e9szt vev\u0151k 69%-a szerint residualis blokk az esetek csak 0\u20135%-\u00e1ban\n                    fordul el\u0151. Ez az ar\u00e1ny 2016-ban 75,6% volt (p = 0,253). A v\u00e1laszad\u00f3k 53,1%-a az\n                    esetek 0\u201310%-\u00e1ban monitorozza az izomrelax\u00e1ci\u00f3 fok\u00e1t a kor\u00e1bbi 75,8%-kal\n                    szemben, m\u00edg a rendszeresen \u00e9s mindig monitoroz\u00f3k ar\u00e1nya 8%-r\u00f3l 20,8%-ra\n                    emelkedett (p = 0,0005). Cs\u00f6kkent azok ar\u00e1nya, akik csak az esetek 0\u201325%-\u00e1ban\n                    alkalmaznak felf\u00fcggeszt\u00e9st (20% <jats:italic>vs.<\/jats:italic> 31,15%), \u00e9s emelkedett azok\n                    ar\u00e1nya, akik rendszeresen, mindig, illetve monitoroz\u00e1s alapj\u00e1n antagoniz\u00e1lnak\n                    (56,2% <jats:italic>vs.<\/jats:italic> 38,54) (p = 0,017). Az aneszteziol\u00f3giai munkahelyek\n                    82%-\u00e1ban \u00e1ll rendelkez\u00e9sre kvantitat\u00edv monitor, de csak 23%-\u00e1ban \u00e9rhet\u0151 az el\n                    minden m\u0171t\u0151ben; szignifik\u00e1ns v\u00e1ltoz\u00e1s nem t\u00f6rt\u00e9nt.\n                        <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> Az aneszteziol\u00f3gusok tov\u00e1bbra is jelent\u0151s\n                    ar\u00e1nyban al\u00e1becs\u00fclik a residualis neuromuscularis blokk el\u0151fordul\u00e1s\u00e1nak\n                    gyakoris\u00e1g\u00e1t. A nem vagy igen ritk\u00e1n monitoroz\u00f3k ar\u00e1nya cs\u00f6kkent, \u00e9s t\u00f6bben\n                    monitoroznak rendszeresen, illetve mindig. Ezzel egy\u00fctt cs\u00f6kkent azok ar\u00e1nya,\n                    akik nem vagy ritk\u00e1n f\u00fcggesztik fel az izomrelax\u00e1nsok hat\u00e1s\u00e1t, \u00e9s szignifik\u00e1nsan\n                    megemelkedett azok ar\u00e1nya, akik rendszeresen, illetve mindig reverz\u00e1lnak. A\n                    kvantitat\u00edv neuromuscularis monitorok m\u00e9g mindig nem \u00e9rhet\u0151k el mindenki\n                    sz\u00e1m\u00e1ra. Orv Hetil. 2024; 165(15): 574\u2013583.<\/jats:p>","DOI":"10.1556\/650.2024.33010","type":"journal-article","created":{"date-parts":[[2024,4,21]],"date-time":"2024-04-21T04:26:35Z","timestamp":1713673595000},"page":"574-583","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":2,"title":["Az izomrelax\u00e1ci\u00f3 m\u0171t\u00e9t alatti monitoroz\u00e1si \u00e9s felf\u00fcggeszt\u00e9si gyakorlata a hazai aneszteziol\u00f3gusok k\u00f6r\u00e9ben"],"prefix":"10.1556","volume":"165","author":[{"given":"Marianna","family":"Fedor","sequence":"first","affiliation":[{"name":"Debreceni Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Klinika Debrecen, Nagyerdei krt. 98., 4032 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bettina","family":"F\u00f3nyad","sequence":"additional","affiliation":[{"name":"Debreceni Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Klinika Debrecen, Nagyerdei krt. 98., 4032 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R\u00e9ka","family":"Nemes","sequence":"additional","affiliation":[{"name":"Debreceni Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Klinika Debrecen, Nagyerdei krt. 98., 4032 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L\u00e1szl\u00f3","family":"Asztalos","sequence":"additional","affiliation":[{"name":"Debreceni Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Klinika Debrecen, Nagyerdei krt. 98., 4032 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B\u00e9la","family":"F\u00fclesdi","sequence":"additional","affiliation":[{"name":"Debreceni Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Klinika Debrecen, Nagyerdei krt. 98., 4032 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrienn","family":"Pongr\u00e1cz","sequence":"additional","affiliation":[{"name":"Debreceni Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Klinika Debrecen, Nagyerdei krt. 98., 4032 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","first-page":"130","DOI":"10.1213\/ane.0b013e31816d1268","article-title":"Residual neuromuscular blockade and critical respiratory events in the postanesthesia care unit","volume":"107","author":"1 Murphy","year":"2008","unstructured":"1 Murphy GS, Szokol JW, Marymont JH, et al. 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