Neuromuscular monitoring and postoperative residual curarisation: a meta-analysis

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Neuromuscular monitoring and postoperative residual curarisation: a meta-analysis.

We conducted a meta-analysis to examine the effect of intraoperative monitoring of neuromuscular function on the incidence of postoperative residual curarisation (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 t...

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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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Intraoperative neuromuscular monitoring site and residual paralysis.

BACKGROUND Residual paralysis is common after general anesthesia involving administration of neuromuscular blocking drugs (NMBDs). Management of NMBDs and reversal is frequently guided by train-of-four (TOF) monitoring. We hypothesized that monitoring of eye muscles is associated with more frequent residual paralysis than monitoring at the adductor pollicis. METHODS This prospective cohort st...

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Postoperative residual neuromuscular block: a survey of management.

BACKGROUND To avoid postoperative residual neuromuscular block there is a need for a change in clinician's attitude towards monitoring and reversal. This study aims to evaluate changes of perioperative neuromuscular block management during the last decade in our institution and to quantify the incidence of postoperative residual neuromuscular block. METHODS Patients receiving intermediate-act...

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Residual neuromuscular blockade: management and impact on postoperative pulmonary outcome.

PURPOSE OF REVIEW To revise the current literature on concepts for neuromuscular block management. Moreover, consequences of incomplete neuromuscular recovery on patients' postoperative pulmonary outcome are evaluated as well. RECENT FINDINGS The incidence of residual paralysis may be as high as 70% and even small degrees of residual paralysis may have clinical consequences. Neostigmine shoul...

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ژورنال

عنوان ژورنال: British Journal of Anaesthesia

سال: 2007

ISSN: 0007-0912

DOI: 10.1093/bja/ael386