Neuromuscular blockers and their reversal: have we finally found the on-off switches?
نویسندگان
چکیده
Abstract Background A nondepolarizing neuromuscular blocking agent (NMBA) with a succinylcholine-like quick onset and offset has been the holy grail of science blockade. Although this drug is still elusive, advent promising new combinations like rocuronium–sugammadex gantacurium– l -cysteine may achieve same end result. The type NMBA; type, timing, dose their reversal drugs; means monitoring NMB; site are potentially on verge paradigm shift. Main text comprehensive search using PubMed Google Scholar Medline was made by keywords gantacurium, -cysteine, calabadion, newer agents for peer-reviewed English language manuscripts published before December 2019. Out 97 articles screened, 16 were found to be eligible (original articles) included in review. Conclusion Quantitative, objective should minimum standards. Gantacurium NMBA desirable duration action without its side effects. broad-spectrum (calabadion) can used both depolarizing NMB as well general anesthetics (etomidate ketamine). novel (WP [6]) block effects succinylcholine; all staring at us from horizon.
منابع مشابه
Selective allodepletion: have we finally found the holy grail?
Allogeneic hematopoietic stem cell transplantation (HSCT) is a potentially curative treatment option for patients with hematologic malignancies and nonmalignant disorders of hematopoiesis. Outcomes of allogeneic HSCT have improved steadily over the decades [1]. However, significant challenges remain. One of these challenges is the so-called Holy Grail of stem cell transplantation immunology: to...
متن کاملEditorial comment: Adenosine in heart transplants: have we finally found the good indication?
متن کامل
Statins: have we found the Holy Grail?
In coronary artery disease, cardiovascular risk factors are the main targets for primary and secondary prevention. Statins prevent cardiovascular events in patients at risk. However, despite the proven efficacy and safety of statins, relevant side effects exist and should be considered when treating patients.
متن کاملPFO and cryptogenic stroke: Do we finally have closure?
In up to 40 percent of patients with acute ischemic stroke, the etiology remains uncertain [1]. The association of a PFO with stroke in a young woman with cerebral arterial embolism was first described in 1877 [2]. Lechat et al. later described the high prevalence of PFO in adults younger than 55 years of age when no identifiable cause of stroke could be identified [3]. They suggested that para...
متن کاملSleeve gastrectomy: have we finally found the holy grail of bariatric surgery? A review of the literature.
OBJECTIVE Laparoscopic sleeve gastrectomy has become one of the most commonly performed bariatric operations. It is essentially a restrictive bariatric operation; however, a series of hormonal changes occurring postoperatively contribute to decreased appetite and reduced food intake. PATIENTS AND METHODS This is a literature review of recent articles published on Pubmed, Medline and Google Sc...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Ain-Shams Journal of Anesthesiology
سال: 2021
ISSN: ['1687-7934', '2090-925X']
DOI: https://doi.org/10.1186/s42077-021-00130-0