Special announcement: Guidelines to the Practice of Anesthesia—Revised Edition 2020

Dobson, Gregory

doi:10.1007/s12630-019-01506-5

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National Practice Parameters1

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2020

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“…In their special announcement, the authors of the 2020 guidelines also describe that they feel objective monitoring is superior to subjective monitoring. The reason for not currently mandating the use of objective monitoring is that it is not universally available [97].…”

Section: National Practice Parametersmentioning

confidence: 99%

Clinical Practice Guideline for the Management of Neuromuscular Blockade: What Are the Recommendations in the USA and Other Countries?

Nemes

Renew

2020

Curr Anesthesiol Rep

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Purpose of Review This review addresses various societal guidelines, standards, and consensus statements regarding optimal neuromuscular blockade management. We discuss the historical evolution of neuromuscular management as a means of identifying possible future trends. Recent Findings While a recent international panel of experts has called for abandoning clinical assessment and subjective evaluation using a peripheral nerve stimulator in favor of adopting quantitative monitoring, few anesthesia societies mandate similar practices at the moment. Summary The current status of neuromuscular monitoring in the world is still variable and unsatisfactory. Nevertheless, a positive trend can be observed in the anesthesia community to adopt and learn this neglected technique. The development of user-friendly monitoring devices should also help this process, but anesthesia national societies still need to do a lot to replace outdated and substandard practices.

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Section: National Practice Parametersmentioning

confidence: 99%