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001-es BibID:	BIBFORM084535
Első szerző:	Fuchs-Buder, Thomas
Cím:	Residual neuromuscular blockade / Fuchs-Buder Thomas, Nemes Réka, Schmartz Denis
Dátum:	2016
ISSN:	0952-7907 1473-6500
Megjegyzések:	Purpose of review To revise the current literature on concepts for neuromuscular block management. Moreover, consequences of incomplete neuromuscular recovery on patients' postoperative pulmonary outcome are evaluated as well. Recent findings The incidence of residual paralysis may be as high as 70% and even small degrees of residual paralysis may have clinical consequences. Neostigmine should not be given before return of the fourth response of the train-of-four-stimulation and no more than 40?50mg/kg should be given. Sugammadex acts more rapidly and more predictably than neostigmine. Finally, there is convincing evidence in the literature that incomplete neuromuscular recovery may lead to a poor postoperative pulmonary outcome. Summary New evidence has emerged about the pathophysiological implications of incomplete neuromuscular recovery. Not only are the pulmonary muscles functionally impaired, but respiratory control is also affected. Residual paralysis endangers the coordination of the pharyngeal muscles and the integrity of the upper airway. However, neuromuscular monitoring and whenever needed pharmacological reversal prevent residual paralysis.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk neostigmine neuromuscular monitoring postoperative pulmonary outcome residual paralysis sugammadex
Megjelenés:	Current Opinion in Anaesthesiology. - 29 : 6 (2016), p. 662-667. -
További szerzők:	Nemes Réka (1985-) (aneszteziológus, intenzív terápiás szakorvos) Schmartz, Denis
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
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