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001-es BibID:BIBFORM094422
Első szerző:Iwasaki, Hiroyuki
Cím:Quantitative Neuromuscular Monitoring : current Devices, New Technological Advances, and Use in Clinical Practice / Iwasaki H., Nemes R., Brull S. J., Renew J. R.
Dátum:2018
Megjegyzések:Purpose of Review The purpose of this review is to summarize various quantitative neuromuscular monitoring modalities and describe strategies to implement them into routine practice. We will contrast these objective modalities with unreliable clinical tests and subjective techniques that expose patients to unnecessary risk associated with postoperative residual weakness. Recent Findings As major specialty societies publish guidelines and consensus statements urging anesthesiologists to utilize quantitative monitors, clinicians must familiarize themselves with this equipment. Furthermore, new monitors are emerging as the industry tries to address the need for user-friendly, reliable monitors. Summary Clinical assessment is an unacceptable technique to guide neuromuscular blockade management in patients receiving neuromuscular blocking agents. The use of a peripheral nerve stimulator can provide some information regarding the level of neuromuscular blockade in patients; however, it cannot reliably confirm adequate recovery. The use of objective, quantitative monitoring is an essential practice that helps guide the administration of neuromuscular blocking agents and excludes deleterious postoperative residual weakness.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:Current Anesthesiology Reports. - 8 : 1 (2018), p. 1-11. -
További szerzők:Nemes Réka (1985-) (aneszteziológus, intenzív terápiás szakorvos) Brull, Sorin J. Renew, J. Ross
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001-es BibID:BIBFORM094452
Első szerző:Nemes Réka (aneszteziológus, intenzív terápiás szakorvos)
Cím:Clinical Practice Guideline for the Management of Neuromuscular Blockade : what Are the Recommendations in the USA and Other Countries? / Nemes R., Renew J. R.
Dátum:2020
Megjegyzések:Purpose of Review This review addresses various societal guidelines, standards, and consensus statements regarding optimal neuromuscular blockade management. We discuss the historical evolution of neuromuscular management as a means of identifying possible future trends. Recent Findings While a recent international panel of experts has called for abandoning clinical assessment and subjective evaluation using a peripheral nerve stimulator in favor of adopting quantitative monitoring, few anesthesia societies mandate similar practices at the moment. Summary The current status of neuromuscular monitoring in the world is still variable and unsatisfactory. Nevertheless, a positive trend can be observed in the anesthesia community to adopt and learn this neglected technique. The development of user-friendly monitoring devices should also help this process, but anesthesia national societies still need to do a lot to replace outdated and substandard practices.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:Current Anesthesiology Reports. - 10 (2020), p. 90-98. -
További szerzők:Renew, J. Ross
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