Irreversible Curarization

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Case scenario: residual curarization in diabetic polyneuropathy.

474 February 2014 P OSTOPERATIVE residual curarization is common after the use of muscle relaxants and may compromise patient outcome after general anesthesia.1–3 The incidence of postoperative residual curarization can be reduced by adequate neuromuscular block reversal and quantitative neuromuscular monitoring.4,5 However, in patients with severe pathologies of the peripheral nervous system, ...

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Perioperative train-of-four monitoring and residual curarization.

It has been suggested that perioperative train-of-four (TOF) monitoring does not reduce the incidence of postoperative residual curarization (PORC). The purpose of this study was to examine whether the use of tactile assessment of the response of the adductor pollicis to supramaximal TOF stimulation of the ulnar nerve at the wrist during anaesthesia affected the incidence of PORC. Thirty-nine A...

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Magnesium intoxication: an uncommon cause of prolonged curarization.

A 30-year-old primigravid patient, 34 weeks pregnant, was admitted to hospital with severe oedema of the face and feet and an arterial pressure of 170/110 mm Hg. She had gross albuminuria. Her weight was 88.4 kg, having increased by 3.5 kg in the preceding 2 weeks. Preedampsia was diagnosed and she was treated with: rest in bed, diazepam 10 mg i.m. 6-hourly, and magnesium sulphate 5 g i.m. foll...

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REVIEWARTICLE Neuromuscular monitoring and postoperative residual curarization: a meta-analysis

We conducted a meta-analysis to examine the effect of intraoperative monitoring of neuromuscular function on the incidence of postoperative residual curarization (PORC). PORC has been considered present when a patient has a train-of-four (TOF) ratio of ,0.7 or ,0.9. We analysed data from 24 trials (3375 patients) that were published between 1979 and 2005. We excluded data on mivacurium from thi...

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Recovery of residual curarization after red blood cell transfusion

BACKGROUND The muscle-relaxing effects of succinylcholine are terminated via hydrolysis by plasma cholinesterase. There are multiple genetic variants of this enzyme and clinical circumstances that might influence the activity of plasma cholinesterase and eventually lead to prolonged neuromuscular blockade following succinylcholine application. CASE REPORT Here, we report a parturient woman wi...

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ژورنال

عنوان ژورنال: Anaesthesia and Intensive Care

سال: 1977

ISSN: 0310-057X,1448-0271

DOI: 10.1177/0310057x7700500311