文本描述
《2010年新药研发立项与专利策略专题培训教材(全英文)》(100页).rar
The need for NMB reversal
• To speed up recovery from neuromuscular block at the end of surgery or
intensive care
– >65% of elective surgery was performed as day procedures in the UK
and >70% in the USA
– Hospital cost: $1,237/day for all medical conditions & $2,401/day in
an ICU (USA 2005). USA 2000 expenditure for critical care medicine
~$15-55 billion (or ~0.5% of GDP & ~13% of national health care
expenditure)
• To prevent residual neuromuscular block and post-operative
complications
– Incidence of residual paralysis: ~38% surgical outpatients & 47%
inpatients
– Incidence of post-operative complications: ~5% of all patients, up to
65% in older patients, of which 19% life-threatening (e.g. pulmonary
complications)