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The effect of changes in arm temperature on neuromuscular monitoring in the presence of atracurium blockade
Author(s) -
THORNBERRY E. A.,
MAZUMDAR B.
Publication year - 1988
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1988.tb06628.x
Subject(s) - medicine , neuromuscular blockade , blockade , anesthesia , stimulation , neuromuscular monitoring , significant difference , peripheral , nerve stimulator , receptor
Summary This study was designed to investigate the relationship between arm temperature and the degree of blockade as monitored by peripheral nerve stimulation by a comparison of both arms of each patient; one exposed to the environment and the other wrapped to maintain its temperature. The decrease in the temperatures of the exposed arms were significantly more than the wrapped arms. A discrepancy was noted proportional to the temperature difference between the two arms, when the train‐of‐four counts were compared. A recommendation is made to maintain the temperature of the monitored arm above 32°C.