Difficulties with neuromuscular monitoring

Neuromuscular Monitoring : A Review

Residual neuromuscular blockade in the postoperative period contributes to significant morbidity and possibly mortality. The incidence of residual neuromuscular blockade has been shown to decrease with the use of neuromuscular monitoring and short acting neuromuscular blocking drugs. Because of marked variation in patient's sensitivity to neuromuscular blockade, the neuromuscular function of th...

Monitoring neuromuscular blockade.

Neuromuscular-blocking agents (NMBA) have been used in clinical anesthesia for nearly 60 years. In the perioperative period, a variety of factors can influence a patient’s response to these drugs. To precisely titrate NMBAs to clinical effects in the anesthetized patient, the application of neuromuscular monitoring is essential. The use of a peripheral nerve stimulator allows the clinician to a...

Monitoring neuromuscular block: an update.

The first part of this article presents an update of the basic considerations of neuromuscular monitoring. It emphasises the need to assure supramaximal stimulation, to place the stimulating electrodes correctly and to use appropriate sites for nerve stimulation as well as appropriate stimulation patterns. The second part focuses on current developments and ongoing discussion. The authors descr...

Flu vaccination campaign poses monitoring difficulties.

Ovarian cancer — difficulties in monitoring response

American studies than in UK series likely reflects greater variation in practice standards in the USA. Review work should ideally occur within the context of a multidisciplinary team (MDT) meeting. Such work is time-consuming and requires the attendance of key radiologists, pathologists, surgeons, physicians and paramedical staff, as well as the support of administrators and clerical staff. Not...