Ability to Maintain Saturation Levels Without Oxygen Supplementation as a Extubation Criteria Without TOF Monitoring Equipment
Patients undergoing general anesthesia will have an endotracheal tube inserted. Adequate muscle strength recovery in the recovery room is crucial to ensure before extubation. One of the criteria we use to determine the recovery of muscle strength post-use of muscle relaxants in conditions without specific monitoring devices is the ability to maintain body oxygen levels without oxygen assistance for 3 minutes. This study aims to determine the muscle strength value in the recovery room using extubation strategies without muscle strength monitoring compared to extubation strategies with muscle strength monitoring.
- EligibilityCriteria: Inclusion Criteria:  Elective surgery Adult patiens aged 18-60 years ASA physical status I-II Not receiving oxygen supplementation during pre-operative care  Exclusion Criteria:  History of hypersensitivy or allergy to neostigmine, muscular blockade agents, or anesthetic agents given Head or neck surgery Inability to access the ulnar nerve for TOF measurement device placement History of lung diseases such asthma, COPD, or pleural effusion Hepatic impairment with liver enzyme values > 50% of the normal range Renal insufficiency (serum creatinine > 1.8 mg/dl) or kidney failure Patients with neuromuscular diseases Body mass index (BMI) > 35 kg/m2 Consumption of medications that affect neuromuscular transmission such as aminoglycoside, polymyxin, lincomycin, clindamycin, and tetracycline; local anesthetic agent, procainamide, quinidine, lithium, magnesium sulfate, furosemide, cyclosporine, dantrolene, anti-estrogens, anticonvulsant, calcium, steroid, and azathioprine. Patients with contraindications to neostigmine or atropine sulfate Planned post-operative intensive care unit treatment - HealthyVolunteers: No - Gender: All - MinimumAge: 18 Years - MaximumAge: 60 Years - StdAgeList: Adult