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Monitoring of curarisation in patients with tetraparesis
Author(s) -
FIACCHINO F.,
BRICCHI M.,
LASIO G.
Publication year - 1990
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.1365-2044.1990.tb14277.x
Subject(s) - medicine , tetraparesis , neuromuscular blockade , trapezius muscle , anesthesia , physical medicine and rehabilitation , electromyography , physical therapy , magnetic resonance imaging , radiology
Summary Neuromuscular blockade induced by pancuronium was monitored on the trapezius and abductor digiti minimi muscles in three patients with upper motor neurone lesions: one patient was hemiparetic and two were tetraparetic. A greater sensitivity to pancuronium was always observed on the trapezius muscle. It is suggested that the assessment of curarisation is more reliable on proximal than on distal muscles if the patient's sensitivity to relaxants is expected to be generally low.