Avaliação do bloqueio neuromuscular residual e da recurarização tardia na sala de recuperação pós-anestésica

Abstract

The incidence of residual block was significantly higher in the pancuronium group. There has been no case of recurarization with neostigmine suggesting that this phenomenon has no clinical significance when patients have no signs of organ failure or co-morbidity impairing neuromuscular transmission.

Residual neuromuscular blockade and late neuromuscular blockade at the post-anesthetic recovery unit: prospective cohort study

“…5 The occurrence of L NMB is also explained by Almeida et al (2004) These authors stated that, theoretically, L NMB can occur after the end of action of neostigmine, since this reversal agent does not displace the neuromuscular blocker from its site of action. 7 …”

“…Among the complications resulting from neuromuscular blocker drugs, post-operative residual Neuromuscular Blockade ( R NMB) has attracted attention. 2 , 5 , 6 , 7 A multicenter study revealed that half of the anesthesia-related deaths were due to post-anesthetic respiratory depression. 2 …”

“… 8 , 10 Studies have shown suitable R NMB prevention after administration of a specific neuromuscular blocker reversal agent. 7 …”

“… 2 Clinical methods do not quantify the degree of NMB, so they have been abandoned and replaced by device-based methods. 7 , 9 , 11 …”