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Current Anesthesiology Reports

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01.06.2018 | Neuromuscular Blockade (GS Murphy, Section Editor)

Quantitative Neuromuscular Monitoring: Current Devices, New Technological Advances, and Use in Clinical Practice

verfasst von: Hajime Iwasaki, Reka Nemes, Sorin J. Brull, J. Ross Renew

Erschienen in: Current Anesthesiology Reports | Ausgabe 2/2018

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Abstract

Purpose of Review

The purpose of this review is to summarize various quantitative neuromuscular monitoring modalities and describe strategies to implement them into routine practice. We will contrast these objective modalities with unreliable clinical tests and subjective techniques that expose patients to unnecessary risk associated with postoperative residual weakness.

Recent Findings

As major specialty societies publish guidelines and consensus statements urging anesthesiologists to utilize quantitative monitors, clinicians must familiarize themselves with this equipment. Furthermore, new monitors are emerging as the industry tries to address the need for user-friendly, reliable monitors.

Summary

Clinical assessment is an unacceptable technique to guide neuromuscular blockade management in patients receiving neuromuscular blocking agents. The use of a peripheral nerve stimulator can provide some information regarding the level of neuromuscular blockade in patients; however, it cannot reliably confirm adequate recovery. The use of objective, quantitative monitoring is an essential practice that helps guide the administration of neuromuscular blocking agents and excludes deleterious postoperative residual weakness.

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Titel: Quantitative Neuromuscular Monitoring: Current Devices, New Technological Advances, and Use in Clinical Practice
verfasst von: Hajime Iwasaki
Reka Nemes
Sorin J. Brull
J. Ross Renew
Publikationsdatum: 01.06.2018
Verlag: Springer US
Erschienen in: Current Anesthesiology Reports / Ausgabe 2/2018
Elektronische ISSN: 2167-6275
DOI: https://doi.org/10.1007/s40140-018-0261-x

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Quantitative Neuromuscular Monitoring: Current Devices, New Technological Advances, and Use in Clinical Practice

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Purpose of Review

Recent Findings

Summary

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Recent Findings

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