My Patient Is Twitching Like a Fish out of Water

Le résumé fourni par la source

Abstract tion, increased risk of aspiration, the subjective sensation of weakness, and postoperative pulmonary complications. Appropriate monitoring of NMB essential to prevent residual paralysis. The train-of-four count allows an anesthesia provider to select an appropriate reversal agent and dose prior to anesthesia emergence. Quantitative measures, such as accelomyography, are superior to clinical tests (head lift) or qualitative means (visual fade on train of four) of measuring residual neuromuscular blockade. Sugammadex has been shown to reverse rocuronium NMB more rapidly than neostigmine. Sugammadex also can provide reversal of profound NMB (post-tetanic count of 1–2). Understanding the principles of appropriate monitoring and reversal of NMB are key to avoiding residual paralysis.

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