This study will be held to assess the effect of minimal dose muscle relaxant on postoperative
pulmonary function. The time to extubation in minutes will be the primary outcome as a
clinical indicator of the return of muscle power. The extubation time will be defined as the
time from injecting the muscle relaxant reversing agent given when regain the train of four
(TOF) ratio to 0.9 till removal of endotracheal tube.
Intraoperative surgical conditions will be assessed in the form of surgeon satisfaction and
the need for more muscle relaxant boluses. Postoperative complications as desaturation
(peripheral oxygen saturation (Spo2) less than 90%), the need for re-intubation or
ventilation support will be recorded. Patient lung will be assessed using ultrasound-based
lung aeration score. Also, the diaphragmatic and intercostal muscle function will be assessed
in the early postoperative period. Immediate postoperative pulmonary function tests will be
evaluated using simple spirometer. Patients will be followed up for 28 days for detection of
pulmonary complications.