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Neuromuscular monitoring

Tìm thấy 10+ kết quả cho từ khóa "Neuromuscular monitoring"

Usefulness of intra-operative neuromuscular blockade monitoring and reversal agents for postoperative residual neuromuscular blockade: A retrospective observational study

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Residual neuromuscular blockade and critical respiratory events in the postanesthesia care unit. A survey of current management of neuromuscular block in the United States and Europe. Consensus statement on perioperative use of neuromuscular monitoring.. Effects of sugammadex on incidence of postoperative residual neuromuscular blockade: a randomized, controlled study. Reversal with sugammadex in the absence of monitoring did not preclude residual neuromuscular block.

Is lower-dose sugammadex a cost-saving strategy for reversal of deep neuromuscular block? Facts and fiction

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Therefore, antagonism of neuromuscular blocking agents is essential when using these drugs, and the ap- propriate drug and dose should be based on assessment of objective (quantitative) neuromuscular monitoring..

Use of sugammadex in patients with neuromuscular disorders: A systematic review of case reports

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Conclusions: Majority of the articles reviewed report successful use of sugammadex to reverse steroidal muscle relaxants, especially rocuronium, in patients with neuromuscular diseases. Quantitative neuromuscular monitoring to ensure complete reversal and adequate postoperative monitoring is strongly recommended in these patients, despite the use of sugammadex..

Failure of reversion of neuromuscular block with sugammadex in patient with myasthenia gravis: Case report and brief review of literature

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Neuromuscular blockade with rocuronium and its reversal with sugam- madex seems to be the best option, when NMB is needed [6, 7], but it does not dispense from the use of objective neuromuscular monitoring..

Economic impact of improving patient safety using Sugammadex for routine reversal of neuromuscular blockade in Spain

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In the past years, new pharmacological alternatives for reversal of neuromuscular blockade have been intro- duced. In clinical trials, sugammadex has been shown to pro- duce much more rapid and predictable reversal of neuromuscular block compared to neostigmine, in the absence of anti-muscarinic side effects and, in trials where quantitative neuromuscular monitoring was not. required, a steep reduction in the incidence of residual NMB .

Actual versus ideal body weight dosing of sugammadex in morbidly obese patients offers faster reversal of rocuronium- or vecuronium-induced deep or moderate neuromuscular block: A randomized clinical trial

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Acceleromyography using the TOF-Watch® SX [Orga- non Ireland Ltd., Dublin, Ireland] at the adductor polli- cis muscle, monitored neuromuscular block. Neuromuscular monitoring continued at least until the subject reached TOF ratio ≥ 0.9, or for at least 30 min following the administration of study drug.

Preparing for the unexpected: Special considerations and complications after sugammadex administration

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Similarly important for good clinical care and patient safety, clinicians must remember that the rever- sal dose of sugammadex should always be calculated based on the degree of neuromuscular recovery obtained with neuromuscular monitoring (ideally, objective neuromuscular monitoring). By doing so, the use of sugammadex eliminates recurrence and/or residual par- alysis after neuromuscular reversal.

Peri-operative diaphragm ultrasound as a new method of recognizing post-operative residual curarization

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Incidence, risk factors, and consequences of residual neuromuscular block in the United States: the prospective, observational, multicenter RECITE-US study. Naguib M, Brull SJ, Kopman AF, Hunter JM, Fülesdi B, Arkes HR, et al. Neuromuscular monitoring in the perioperative period.. Yu B, Ouyang B, Ge S, Luo Y, Li J, Ni D, et al. Goligher EC, Laghi F, Detsky ME, Farias P, Murray A, Brace D, et al..

A mouthful - airway matters in intraoperative neuromonitoring in auditory brainstem implant surgery for the pediatric patient: A case series

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In summary, neurophysiology monitoring of cranial nerve IX, X, XII in the ABI procedure requires intraoral placement of electrodes. (1) Intraoperative neuromuscular monitoring for auditory brainstem implant includes brainstem. There is a larger increase in external diameter due to overlapping of the wrappings. auditory evoked response, brainstem mapping of CN IX, X, XI, XII and their motor nuclei, and corticobulbar tract motor-evoked potential monitoring..

Recovery and prediction of postoperative muscle power – is it still a problem?

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Despite (uncali- brated) acceleromyographic neuromuscular monitoring (aNMM) being applied, ensuring a TOF Ratio ≥ 0.9 before extubation, use of NMBAs has the biggest impact on postoperative muscle power. we cannot predict recovery of muscle power in the majority of our study population. Calibration of the accelerometer as well as establishing a TOF Ratio of 1.0 before extubation improves the predictive value up to 97% (77% uncalibrated) [8] but at some time cost.

A randomized trial evaluating the safety profle of sugammadex in high surgical risk ASA physical class 3 or 4 participants

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Neuromuscular monitoring was performed either qualitatively or quantitatively using any available technique depending on the standard of the respective study center..

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 42

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Neuromuscular monitoring is performed in order to evaluate muscular relax- ation during the intubation phase as well as during the surgical period and prior to the WUT and extubation. Three responses in the TOF are normally observed when there are over 75 % of the neuromuscular receptors free of a muscle relaxant effect. Patients monitored for MEP and/or nerve root integrity must have at least 3/4 twitches in the TOF..

Development of an algorithm using clinical tests to avoid post-operative residual neuromuscular block

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Therefore, we will continue to see patients with residual neuromuscular block in the PACU.. Rejection of quantitative neuro- muscular monitoring in the PACU is, therefore, more understandable than its widespread intraoperative denial..

Association of neuromuscular reversal by sugammadex and neostigmine with 90-day mortality after non-cardiac surgery

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Residual neuromuscular blockade and critical respiratory events in the postanesthesia care unit. A survey of the management of neuromuscular blockade monitoring in Australia and New Zealand. A survey of current management of neuromuscular block in the United States and Europe

Carboxymethyl-γ-cyclodextrin, a novel selective relaxant binding agent for the reversal of neuromuscular block induced by aminosteroid neuromuscular blockers: An ex vivo laboratory study

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for the reversal of neuromuscular block induced by aminosteroid neuromuscular blockers:. Background: Residual neuromuscular block at the end of surgery may compromise the patient’s safety. The risk of airway complications can be minimized through monitoring of neuromuscular function and reversal of neuromuscu- lar block if needed.

Neuromuscular block in patients 80 years and older: A prospective, controlled study

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Monitoring established on arrival in the operating room included electrocardiography, non-invasive arterial pres- sure, pulse oximetry, and capnography. Neuromuscular block was established with a single dose of rocuronium 0.6 mg/. To obtain raw TOF ratio’s the T4/. T2 algorithm of the device was inactivated.

Comparison of deep or moderate neuromuscular blockade for thoracoscopic lobectomy: A randomized controlled trial

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The relationship of posttetanic count and train-of-four responses during recovery from intense cisatracurium induced neuromuscular blockade. Predicting recovery from deep neuromuscular block by rocuronium in the elderly. Reversal of rocuronium-induced neuromuscular blockade by sugammadex allows for optimization of neural monitoring of the recurrent laryngeal nerve.. Sugammadex: a review of neuromuscular blockade reversal..

Comparison of neuromuscular blockade recovery co-administered with neostigmine and different doses of calcium gluconate: A randomized control trial

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Advances in neurobiology of the neuromuscular junction: implications for the anesthesiologist.. Comparison of the TOFscan and the TOF-watch SX during recovery of neuromuscular function. Intraoperative acceleromyography monitoring reduces symptoms of muscle weakness and improves quality of recovery in the early postoperative period. Effect of ionized calcium on the neuromuscular blocking actions of atracurium and vecuronium in the cat.

Respiratory muscle activity after spontaneous, neostigmine- or sugammadex-enhanced recovery of neuromuscular blockade: A double blind prospective randomized controlled trial

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Recent papers have focused on the rationalized use of NMBAs, monitoring depth of NMB during anesthesia and the adequate timing and dosing of reversal agents [2], and there are ongoing discussions about the possible benefit of sugam- madex over neostigmine, with regards to respiratory out- come [13, 19]. All patients in the shallow/sugammadex group had a return of TOFR to unity (100.

Effects of age on sugammadex reversal of neuromuscular blockade induced by rocuronium in Chinese children: A prospective pilot trial

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Effects of age on sugammadex reversal of neuromuscular blockade induced by rocuronium in Chinese children:. Background: Sugammadex reverses neuromuscular blockade induced by steroidal relaxants. We compared the recovery for neuromuscular blockade reversal with sugammadex in children aged 1–12 years..