Not just monitoring; a strategy for managing neuromuscular blockade

Universal neuromuscular blockade monitoring

“…I agree completely with Rodney et al's conclusion that anaesthetists generally accord insufficient importance to neuromuscular monitoring [1]. More widespread use of objective monitoring and a consequent decrease in the incidence of postoperative residual curarisation are undoubtedly laudable aims.…”

“…We thank Dr. Levy for his interest in our editorial [1], and welcome his support for the principle of neuromuscular monitoring for all patients receiving neuromuscular blocking drugs, applied from the start of the case, activated after induction of anaesthesia, and before their administration..…”

Don't quote me on this, but…

“…So I examined the incidence of opening quotations in 150 consecutive Anaesthesia editorials up to September 2017. I discovered musings from Voltaire [1] and Tolstoy [2], William Osler [3], Atul Gawande [4], and even Michael Jordan [5], The Beatles [6] and Spiderman's uncle [1]! Henry Ford put in a particularly strong showing, supplying three quotations to three editorials over the time period [7][8][9].…”

Fixing endotracheal tubes in patients with an absent lingual frenulum

“…Rather than insisting on routine neuromuscular monitoring of reversal [6,7], therefore, we would argue that cost-benefit analysis is needed to determine whether routine administration of sugammadex for neuromuscular block reversal is favourable to monitor-based block reversal, in terms of patient outcome. through the tip of a patient's tongue enables control of the tongue during centralisation (Fig.…”