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001-es BibID:	BIBFORM077687
Első szerző:	Fülesdi Béla (aneszteziológus)
Cím:	Deep Neuromuscular Block Facilitates Laparoscopic Surgery- or Probably Does Not? / Béla Fülesdi, László Asztalos, Edömér Tassonyi
Dátum:	2018
ISSN:	2149-0937 2149-276X
Megjegyzések:	In recent years, we gained a new insight about "neuromuscular blockade"(NMB). We can consider that this is one of the "classical" concepts of our branch: its theory is very well-known; the scientific background has been exclusively studied decades ago. New developments have led to the fact that NMB has become again be a subject of debates and new studies. In recent years, there has been only one molecule which has been introduced as a new-comer to our daily practice: Sugammadex. Sugammadex has changed a lot of things: On one hand, we have now the feeling that we can use the neuromuscular blocking agents ("NMBA's") in a wider, safer margin. Yes, we are not so afraid of "rest-curarisation" or "re-curarisation", as we were before. We can allow a "deep" blockade, if necessary. And even during a deep block, we can safely (safely?) antagonise the effects of NMBA. Is this information really so true? On the other hand, we have suddenly "realised" that in the past, we had probably more patients than we suggest who were suffering of the continuing effects of NMBA's. We see studies showing that actually we always need a TOF >0.9, and "older" methods of reversal are often insufficient to achieve this goal. Again, we have suddenly "realised" that we actually needed a deep block more often than we performed. Is this information really so true, too? These questions (and more) have to be discussed, even in 2018, decades after the "scientific clarification" of neuromuscular blockade.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:	Turkish Journal of Anaesthesiology and Reanimation. - 2018 : 46 (2018), p. 73-74. -
További szerzők:	Asztalos László (1985-) (aneszteziológus) Tassonyi Edömér (1940-2022) (aneszteziológus)
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
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