Algorithmusbasierte Präventionsstrategien zur Vermeidung neuromuskulärer Restblockaden
- Unterbuchner, C.
- Ehehalt, K.
- Graf, B.
DOIAbstract
Background Postoperative residual neuromuscular block (train of four ratio <0.9) is an outcome-relevant problem in balanced anesthesia, which increases postoperative morbidity and mortality. Implementation of medium and short-acting muscle relaxants, quantitative neuromuscular monitoring and pharmacological reversal of muscle relaxation reduce the incidence of residual neuromuscular block. The question arises whether this is suitable to create a pragmatic algorithm integrating these three individual methods to reduce paralysis-associated complications? Methods A selective literature search was carried out in PubMed and guidelines of national specialist societies were searched using special terms. Results The incidence of residual neuromuscu...
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