Usefulness of intra-operative neuromuscular blockade monitoring and reversal agents for postoperative residual neuromuscular blockade: a retrospective observational study
نویسندگان
چکیده
منابع مشابه
Observational study on patterns of neuromuscular blockade reversal
BACKGROUND Using electronic health record data, we hypothesized that larger reversal doses are used for patients with deeper levels of neuromuscular blockade (NMB) as evidenced by the last recorded TOF measurement. We also examined if dosing regimens reflect current practice guidelines of using ideal body weight (IBW) for NMB agents and total body weight (TBW) for neostigmine. METHODS This is...
متن کاملMonitoring 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...
متن کاملResidual 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...
متن کاملResidual 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...
متن کاملResidual neuromuscular blockade and upper airway muscles.
We appreciate the opportunity to review and respond to the letter to the editor by Culp, Brewster, and Wernicki, in response to our review article. We thank the authors for their complimentary remarks. We are also pleased that they chose to respond and emphasize the need for prevention and rescue of drowning persons to further improve the survival rate from this disaster. They make the point th...
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ژورنال
عنوان ژورنال: BMC Anesthesiology
سال: 2019
ISSN: 1471-2253
DOI: 10.1186/s12871-019-0817-4