Residual Neuromuscular Blockade in Critical Care

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Residual neuromuscular blockade in critical care.

Neuromuscular blockade is a pharmacological adjunct for anesthesia and for surgical interventions. Neuromuscular blockers can facilitate ease of instrumentation and reduce complications associated with intubation. An undesirable sequela of these agents is residual neuromuscular blockade. Residual neuromuscular blockade is linked to aspiration, diminished response to hypoxia, and obstruction of ...

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Residual neuromuscular blockade and critical respiratory events in the postanesthesia care unit.

BACKGROUND Incomplete recovery of neuromuscular function may impair pulmonary and upper airway function and contribute to adverse respiratory events in the postanesthesia care unit (PACU). The aim of this investigation was to assess and quantify the severity of neuromuscular blockade in patients with signs or symptoms of critical respiratory events (CREs) in the PACU. METHODS We collected dat...

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Residual neuromuscular blockade and upper airway muscles.

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Residual neuromuscular blockade: a persistent clinical problem.

In the classic study of deaths associated with anesthesia and surgery, Beecher and Todd in 1954 reported a 6-fold increase in the death rate of patients undergoing general anesthesia when ‘‘curare’’ was used compared with anesthesia without neuromuscular blockade (NMB). Their study must be viewed in the context of the initial use of neuromuscular blocking drugs (NMBDs) (curare) with volatile an...

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Tako-Tsubo syndrome secondary to residual neuromuscular blockade. Case report.

BACKGROUND AND OBJECTIVES Tako-Tsubo syndrome is a rare postoperative complication with a 5% mortality rate. The objective of this report was to present residual neuromuscular blockade as a trigger for this syndrome, discuss this disorder, and call attention to the risks of residual neuromuscular blockade. CASE REPORT A 61-year old female, physical status ASA I, who underwent general anesthes...

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ژورنال

عنوان ژورنال: Critical Care Nurse

سال: 2012

ISSN: 0279-5442,1940-8250

DOI: 10.4037/ccn2012107