Neuromuscular monitoring in clinical practice and research Mit elnem
Neuromuscular monitoring is critical for the judicious use of muscle relaxants. In combination with reversal, it is fundamental to every successful strategy for managing postoperative residual blocks. This reference work is a compendium of all the essenti
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Thomas Fuchs-Buder
Neuromuscular monitoring in clinical practice and research With 50 figures and 16tables
~ Springer
Professor Thomas Fuchs-Buder, M.D. Departmentof Anesthesia and Critical Care Centre Hospitalier Universitaire de Nancy/Brabois 54511 Vandceuvre-les-Nancy, France
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Foreword More than 25 years ago, at a time when neuromuscular function monitoring was only seldom used, it was documented that postoperative residual curarization (PORC), also referred to as residual paralysis, was frequent in three university hospitals in Copenhagen. The initial response of colleagues was that this finding most probably was due to insufficient training of anesthesiologists in Denmark and therefore did not apply to other departments in other parts of the world. Over the next years, it was documented that the high incidence of PORC was not solely a Danish problem: It was seen in other places of the world, when a neuromuscular block was not monitored and sufficient recovery of neuromuscular function was sought ensured using only clinical criteria, such as sustained eye opening, tongue protrusion or sustained head or arm lift. Soon it became apparent
