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Current Anesthesiology Reports

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03-10-2023 | Succinylcholine | Neuromuscular Blockade (CA Lien, Section Editor)

Monitoring Depth of Neuromuscular Blockade

Authors: Srdjan Jelacic, Andrew Bowdle, Stephan R. Thilen

Published in: Current Anesthesiology Reports | Issue 4/2023

Abstract

Purpose of Review

This review discusses alternative quantitative neuromuscular blockade monitoring methods and advantages and disadvantages of each when used in clinical practice.

Recent Findings

Quantitative neuromuscular blockade monitors are not always validated against gold standard mechanomyography before becoming commercially available. Validation is particularly important for electromyography because of the importance of managing electrical noise and distinguishing electromyographic signal from noise. The use of acceleromyography must take into account that baseline train-of-four ratio frequently exceeds 1.0.

Summary

All commercially available and any new neuromuscular blockade monitors should be validated against mechanomyography. Acceleromyography represents a particular challenge because of frequent baseline train-of-four ratios greater than 1.0.

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Title: Monitoring Depth of Neuromuscular Blockade
Authors: Srdjan Jelacic
Andrew Bowdle
Stephan R. Thilen
Publication date: 03-10-2023
Publisher: Springer US
Keyword: Succinylcholine
Published in: Current Anesthesiology Reports / Issue 4/2023
Electronic ISSN: 2167-6275
DOI: https://doi.org/10.1007/s40140-023-00583-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Monitoring Depth of Neuromuscular Blockade

Abstract

Purpose of Review

Recent Findings

Summary

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose of Review

Recent Findings

Summary

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