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Qualitative Neuromuscular Monitoring: Patterns of Stimulation, Site of Monitoring, and Accuracy in Detecting Residual Neuromuscular Blockade

  • Neuromuscular Blockade (GS Murphy, Section Editor)
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Abstract

Purpose of Review

Muscle paralysis is a component of many general anesthetics, and monitoring of neuromuscular function is integral to ensuring complete and safe recovery.

Recent Findings

Recommendations for qualitative neuromuscular blockade have been well-described in the literature for decades; however practitioners frequently do not follow recommendations, resulting in patient harm from inadequate reversal of paralysis.

Summary

This review will focus on evidence-based techniques for patterns of stimulation, sites of monitoring, and accuracy in detecting residual neuromuscular blockade; furthermore, the review will also discuss barriers to implementation of best practices.

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Papers of particular interest have been highlighted as: • Of importance, •• Of outstanding importance

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Correspondence to Roy Soto.

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Conflict of Interest

Moumen Asbahi and Roy Soto declare they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Additional information

This article is part of the Topical Collection on Neuromuscular Blockade

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Asbahi, M., Soto, R. Qualitative Neuromuscular Monitoring: Patterns of Stimulation, Site of Monitoring, and Accuracy in Detecting Residual Neuromuscular Blockade. Curr Anesthesiol Rep 8, 130–133 (2018). https://doi.org/10.1007/s40140-018-0268-3

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