Anaes SAQs · Neuromuscular blockade & reversal
Monitoring the neuromuscular block and the problem of residual blockade
The monitoring SAQ — the train-of-four, quantitative (objective) versus qualitative monitoring, the 0.9 recovery threshold, and residual blockade as the silent cause of hypoxaemia/aspiration. Anchored to the Naguib 2018 monitoring consensus and the Abrishami Cochrane.
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Target exams
ANZCAFRCAABAEDAIC
Prompt
Describe how you monitor the depth of a neuromuscular block intra-operatively, define residual neuromuscular blockade, and outline its consequences and prevention.
Question
Describe how you monitor the depth of a neuromuscular block intra-operatively, define residual neuromuscular blockade, and outline its consequences and prevention.
References3ShowHide
- [5]Naguib M, Brull SJ, Kopman AF, Hunter JM, et al. Consensus Statement on Perioperative Use of Neuromuscular Monitoring. Anesthesia & Analgesia, 2018.PMID 29200077
- [3]Abrishami A, Ho J, Wong J, Yin L, Chung F. Sugammadex, a selective reversal medication for preventing postoperative residual neuromuscular blockade. Cochrane Database of Systematic Reviews, 2009.PMID 19821409
- [6]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.