Reversing non-depolarising muscle relaxants, nausea and residual curarisation

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A survey of non-depolarising muscle relaxants used in cardiac anaesthesia and surgery

Introduction: Residual neuromuscular blockade contributes to postoperative morbidity and mortality, and is more common with long-acting non-depolarising muscle relaxants (NDMRs) such as pancuronium [1]. This phenomenon may be a common occurrence in 'fast-track' managed cardiac patients administered long-acting NDMRs. We examine the usage of NDMRs in cardiac anaesthesia in the United Kingdom. Me...

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Muscle relaxants and Bier's block.

Sir We are grateful for the opportunity to reply to your correspondent. If no less an authority than Professor J. M. Hunter can write a sentence beginning 'With the advent of the two new non-depolarizing muscle relaxants, atracurium and vecurionium . . .' (Hunter, 1987), we feel we may use the same expression. Ethical committee approval for the addition of atracurium to Bier's blocks was obtain...

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1 Muscle weakness is a feature of many illnesses but the present discussion will be confined mainly to conditions in which it is a manifestation of defects in the anterior horn cells, the motor nerves, the neuromuscular junction, or the muscle itself. The pathogenesis of these disorders is often ill-understood and more than one component of the neuromuscular system may be involved. Moreover, kn...

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ژورنال

عنوان ژورنال: Anaesthesia

سال: 2016

ISSN: 0003-2409

DOI: 10.1111/anae.13441