Abstract:During the last decade the incidence of residual neuromuscular block strongly decreased in our institution. It confirms the positive impact of neuromuscular monitoring and reversal of neuromuscular block in routine anaesthetic practice.
“…(30) In order to avoid complications related to the use of muscle relaxants, precise assessment of neuromuscular transmission would be beneficial. (31,32) However, acceleromyography is not currently used routinely to determine a TOF ratio but remains primarily a tool for research. More conventional spot monitoring with TOF stimulation is unlikely to provide the clinician with an adequate assessment of peri-operative neuromuscular function.…”
“…(30) In order to avoid complications related to the use of muscle relaxants, precise assessment of neuromuscular transmission would be beneficial. (31,32) However, acceleromyography is not currently used routinely to determine a TOF ratio but remains primarily a tool for research. More conventional spot monitoring with TOF stimulation is unlikely to provide the clinician with an adequate assessment of peri-operative neuromuscular function.…”
“…La incidencia de BNMR presenta una gran variabilidad con porcentajes que oscilan entre el 2% y el 64% 87,93,94,95,96,97,98,99,100,101,102,103,104,105 .…”
Introduction and objectives: International Diabetes Federation (IDF) estimates that worldwide there are 415 million adults aged 20-79 with diabetes mellitus (DM). Although diabetes mellitus (DM) is a highly prevalent disease, only a handful of studies have examined the neuromuscular function in diabetic patients. Even more surprising is this data, if we think that neuromuscular blockade (NMB) is an essential part in the induction and maintenance of general anesthesia. NMB is induced by neuromuscular blocking agents (NMBA). The aim of this review is to update the knowledge of neuromuscular blockade in diabetes mellitus and its implications in clinical practice.
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