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Monitoring neuromuscular block: an update
Author(s) -
FuchsBuder T.,
Schreiber J.U.,
Meistelman C.
Publication year - 2009
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.1365-2044.2008.05874.x
Subject(s) - medicine , neuromuscular monitoring , block (permutation group theory) , neuromuscular blockade , stimulation , physical medicine and rehabilitation , anesthesia , geometry , mathematics
Summary The first part of this article presents an update of the basic considerations of neuromuscular monitoring. It emphasises the need to assure supramaximal stimulation, to place the stimulating electrodes correctly and to use appropriate sites for nerve stimulation as well as appropriate stimulation patterns. The second part focuses on current developments and ongoing discussion. The authors describe the performance of acceleromyography and the need for initial calibration when using these quantitative devices.