{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T18:26:52Z","timestamp":1788373612431,"version":"build-2803163510"},"reference-count":25,"publisher":"Termedia Sp. z.o.o.","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Anaesthesiol Intensive Ther"],"abstract":"Introduction<\/jats:title>Heart transplant recipients present unique perioperative challenges for surgery. Specifically, autonomic system denervation has significant implications for commonly used perioperative drugs. This study investigates neuromuscular blocking antagonists in this population when undergoing subsequent non-cardiac surgery.<\/jats:p><\/jats:sec>Material and methods<\/jats:title>A retrospective review was performed for the period 2015\u20132019 across our health care enterprise. Patients with previous orthotopic heart transplant and subsequent non-cardiac surgery were identified. A total of 185 patients were found, 67 receiving neostigmine (NEO) and 118 receiving sugammadex (SGX). Information of patient characteristics, prior heart transplant, and subsequent non-cardiac surgery was collected. Our primary outcome was the incidence of bradycardia (heart rate < 60 bpm) and\/or hypotension (mean blood pressure (MAP) < 65 mmHg) following neuromuscular blockade reversal. Secondary outcomes included need of intra-operative inotropic agents, arrhythmia, cardiac arrest, hospital length of stay (hLOS), ICU admission, and death within 30 postoperative days.<\/jats:p><\/jats:sec>Results<\/jats:title>In unadjusted analysis, no significant differences were found between the two groups in change in heart rate [0 (\u201326, 14) vs. 1 (\u201319, 10), <i>P<\/i> = 0.59], change in MAP [0 (\u201322, 28) vs. 0 (\u201340, 47), <i>P<\/i> = 0.96], hLOS [2 days (1, 72) vs. 2 (0, 161), <i>P<\/i> = 0.92], or intraoperative hypotension [4 (6.0%) vs. 5 (4.2%), OR = 0.70, <i>P<\/i> = 0.60] for NEO and SGX respectively. After multivariable analysis, the results were similar for change in heart rate (<i>P<\/i> = 0.59) and MAP (<i>P<\/i> = 0.90).<\/jats:p><\/jats:sec>Conclusions<\/jats:title>No significant differences in the incidence of bradycardia and hypotension were found in the NEO versus SGX groups. NEO and SGX may have similar safety profiles in patients with prior heart transplant undergoing non-cardiac surgery.<\/jats:p><\/jats:sec>","DOI":"10.5114\/ait.2023.125337","type":"journal-article","created":{"date-parts":[[2023,3,9]],"date-time":"2023-03-09T08:47:27Z","timestamp":1678351647000},"page":"46-51","source":"Crossref","is-referenced-by-count":2,"title":["An appraisal of\u00a0neostigmine versus sugammadex for neuromuscular blockade reversal in patients with a\u00a0prior heart transplant"],"prefix":"10.5114","volume":"55","author":[{"given":"Stephania","family":"Paredes","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivian Hernandez","family":"Torres","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harold","family":"Chaves-Cardona","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Matus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven B.","family":"Porter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johnathan Ross","family":"Renew","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3061","published-online":{"date-parts":[[2023,3,2]]},"reference":[{"key":"ref-1375460","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2015.06.009"},{"key":"ref-1375461","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5049.84849"},{"key":"ref-1375462","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000001060"},{"key":"ref-1375463","doi-asserted-by":"publisher","DOI":"10.1161\/01.cir.76.4.827"},{"key":"ref-1375464","doi-asserted-by":"publisher","DOI":"10.1016\/0888-6296(88)90235-9"},{"key":"ref-1375465","doi-asserted-by":"publisher","DOI":"10.1007\/BF03011720"},{"key":"ref-1375466","doi-asserted-by":"publisher","DOI":"10.1213\/00000539-199404000-00029"},{"key":"ref-1375467","first-page":"903","article-title":"Use of combination of rocuronium and sugammadex in heart transplant recipients","volume":"40","author":"G\u00f3mez-R\u00edos M\u00c1 L\u00f3pez LR","year":"2012","unstructured":"G\u00f3mez-R\u00edos M\u00c1 L\u00f3pez LR. Use of combination of rocuronium and sugammadex in heart transplant recipients. Anaesth Intensive Care 2012; 40: 903-904.","journal-title":"Anaesth Intensive Care"},{"key":"ref-1375468","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"ref-1375469","doi-asserted-by":"publisher","DOI":"10.3325\/cmj.2021.62.606"},{"key":"ref-1375470","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2021.09.026"},{"key":"ref-1375471","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e31816d8403"},{"key":"ref-1375472","doi-asserted-by":"publisher","DOI":"10.1007\/BF03019764"},{"key":"ref-1375473","doi-asserted-by":"publisher","DOI":"10.4103\/aca.ACA_51_17"},{"key":"ref-1375474","first-page":"185","article-title":"Should we routinely reverse neuromuscular blockade with sugammadex in patients with a history of heart transplantation?","volume":"7","author":"Yuki K","year":"2020","unstructured":"Yuki K, Scholl R. Should we routinely reverse neuromuscular blockade with sugammadex in patients with a history of heart transplantation? Transl Perioper Pain Med 2020; 7: 185-189.","journal-title":"Transl Perioper Pain Med"},{"key":"ref-1375475","doi-asserted-by":"publisher","DOI":"10.4103\/ija.IJA_390_17"},{"key":"ref-1375476","doi-asserted-by":"publisher","DOI":"10.1161\/01.cir.97.14.1368"},{"key":"ref-1375477","doi-asserted-by":"publisher","DOI":"10.1161\/01.cir.-99.-14.1866"},{"key":"ref-1375478","doi-asserted-by":"publisher","DOI":"10.1007\/BF03011717"},{"key":"ref-1375479","article-title":"BRIDION\u00ae (sugammadex) Injection, for intravenous use","author":"Food and Drug Administration","year":"2015","unstructured":"Food and Drug Administration. BRIDION\u00ae (sugammadex) Injection, for intravenous use. [Internet]. 2015 [cited 2020 Feb 14]. Available from: https:\/\/www.accessdata.fda.gov\/drugsatfda_docs\/label\/2015\/022225lbl.pdf"},{"key":"ref-1375480","doi-asserted-by":"publisher","DOI":"10.2174\/138955712801264828"},{"key":"ref-1375481","doi-asserted-by":"publisher","DOI":"10.1177\/0310057X1404200116"},{"key":"ref-1375482","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-017-06159-2"},{"key":"ref-1375483","doi-asserted-by":"publisher","DOI":"10.1097\/EJA.0b013e32832c605b"},{"key":"ref-1375484","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2015.08.002"}],"container-title":["Anaesthesiology Intensive Therapy"],"original-title":[],"link":[{"URL":"https:\/\/www.ait-journal.com\/pdf-160940-121748","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ait-journal.com\/pdf-160940-121748","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,27]],"date-time":"2025-03-27T10:27:42Z","timestamp":1743071262000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ait-journal.com\/An-appraisal-of-neostigmine-versus-sugammadex-for-neuromuscular-blockade-reversal,160940,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,2]]},"references-count":25,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023]]}},"alternative-id":["160940"],"URL":"https:\/\/doi.org\/10.5114\/ait.2023.125337","relation":{},"ISSN":["1642-5758","1731-2531"],"issn-type":[{"value":"1642-5758","type":"print"},{"value":"1731-2531","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,2]]}}}