Neuromuscular monitoring and its importance in neuromuscular blockade☆

López, J. Fabregat; Arana, César Augusto Candia; Monzón, Caridad Greta Castillo

doi:10.1097/01819236-201240040-00010

Cited by 1 publication

(2 citation statements)

References 41 publications

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“…The preferred nerve-muscle unit remains the ulnar nerve (APM), but we must be aware of the overestimation of time required for relaxation of laryngeal muscles when using this site in induction [36]. When the hand is inaccessible, the posterior tibial nerve-flexor hallucis brevis muscle evaluated subjectively or by AMG can be chosen, with similar values compared to APM [39].…”

Section: Choosing the Right Nerve-muscle Unit To Monitormentioning

confidence: 99%

“…The optimum monitoring site is the most accessible one during surgery and where response muscles can be clearly seen [36]. Some researchers state that it would be more appropriate to use the facial nerve (CSM) for monitoring the earliest time for optimal intubation (for rapid sequence induction) or blockade of the diaphragm and the abdominal wall muscles, whereas the ulnar nerve (APM) unit is best used when information about pharyngeal muscle recovery is needed, especially before extubation [37,38].…”

Section: Choosing the Right Nerve-muscle Unit To Monitormentioning

confidence: 99%

See 1 more Smart Citation

Neuromuscular monitoring: an update

Duţu

Ivascu

Tudorache

et al. 2018

Rom J Anaesth Int Care

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This review makes an advocacy for neuromuscular blockade monitoring during anaesthesia care, by: (i) describing the fundamental principles of the methods currently available, at the same time emphasizing quantitative recording measurements; (ii) describing the different ways in which muscles respond to the effect of neuromuscular blockade and their use in clinical practice; (iii) presenting results of different studies on timing and agents of neuromuscular block reversal, including a recommendation for sugammadex use and experimental results with calabadion and (iv) in the end emphasizing the need for implementing neuromuscular monitoring as a practice that should be used every time a neuromuscular block is required.

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Section: Choosing the Right Nerve-muscle Unit To Monitormentioning

confidence: 99%