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- Title
Residual Neuromuscular Blockade.
- Authors
Plummer-Roberts, Anna L.; Trost, Christina; Collins, Shawn; Hewer, Ian
- Abstract
This article provides an update on residual neuromuscular blockade for nurse anesthetists. The neuromuscular junction, pharmacology for producing and reversing neuromuscular blockade, monitoring sites and methods, and patient implications relating to incomplete reversal of neuromuscular blockade are reviewed. Overall recommendations include using multiple settings when employing a peripheral nerve stimulator for monitoring return of neuromuscular function and administering pharmacologic reversal when the train-of-four ratio is below 0.9.
- Subjects
ELECTRIC stimulation; MYONEURAL junction; CHOLINESTERASE inhibitors; CURARE-like agents; MUSCLE contraction; NEUROMUSCULAR blocking agents; NEUROMUSCULAR depolarizing agents; SURGICAL complications; CONTINUING education units; PHARMACODYNAMICS; PHYSIOLOGY; ANATOMY; EQUIPMENT &; supplies
- Publication
AANA Journal, 2016, Vol 84, Issue 1, p57
- ISSN
0094-6354
- Publication type
Article