Recovery from neuromuscular blockade and routine monitoring of neuromuscular function
نویسندگان
چکیده
منابع مشابه
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...
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Alcuronium 0.2 mg kg-1 was given to six patients to investigate the simultaneous recovery of breathing and peripheral neuromuscular function. Anaesthesia was maintained with 66% nitrous oxide in oxygen supplemented with 0.5% halothane, and the patients were ventilated to normocarbia. Patients were disconnected from the ventilator after the reappearance of the tetanic response. This response ret...
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Atracurium 0.3 mg kg-1 was given to two groups of patients to compare the recovery of spontaneous breathing with that of peripheral neuromuscular function. Anaesthesia was maintained in one group (n = 6) with an infusion of etomidate (mean flow rate 24 micrograms kg-1 min-1) and in the other group (n = 5) with 0.5% halothane. From the time of discontinuing ventilation, about 5 min after the rea...
متن کاملNeuromuscular blockade in children.
Neuromuscular blocking agents (NMBAs) have been widely used to control patients who need to be immobilized for some kind of medical intervention, such as an invasive procedure or synchronism with mechanical ventilation. The purpose of this monograph is to review the pharmacology of the NMBAs, to compare the main differences between the neuromuscular junction in neonates, infants, toddlers and a...
متن کاملA simple device for monitoring neuromuscular blockade in children.
A simple instrument for measuring adductor pollicis tension in children has been devised. The thumb sensor utilizes a thin conical rubber seal obtained from a 5, 10 or 20 ml Becton Dickinson syringe. A syringe barrel of similar size, fixed at right angles to the sensor, forms a handle for the fist. The sensor is linked to a pressure transducer with non-compliant tubing. Pressure output of the s...
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ژورنال
عنوان ژورنال: Anaesthesia
سال: 2007
ISSN: 0003-2409,1365-2044
DOI: 10.1111/j.1365-2044.2007.05359_1.x