Publications by authors named "Alain A D'Hollander"

A more sensitive method than the train-of-four ratio seems required to detect low levels of residual neuromuscular blockade before tracheal extubation. The goal of the study was to determine the potential benefit of 5 s of 100 versus 200 Hz tetanic stimulation to quantify the residual block with mechanomyography in anesthetised patients. Twenty informed and consenting 18- to 80-year-old patients undergoing nose surgery were included.

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Article Synopsis
  • Doctors discovered that just having a TOF ratio of 0.90 after surgery isn’t enough to ensure patients won’t have breathing problems later.
  • They tested how well certain muscles reacted using special monitors while patients were under anesthesia and after being given a muscle relaxant.
  • The results showed that even if the TOF ratio was above 0.90, muscle strength was still lower than it should be, meaning some patients still had leftover muscle weakness, which could be risky during recovery.
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Data on the effects of isovolemic hemodilution (IH) on oxygenation during one-lung ventilation (OLV) are lacking. We studied 47 patients with hemoglobin >14 g/dL who were scheduled for lung surgery (17 with normal lung function [group NL], 17 with chronic obstructive pulmonary disease [COPD] [group COPD], and 13 with COPD as control for time/anesthesia effects [group CTRL]). Anesthesia was standardized.

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The authors describe a modified technique of posterior approach to the lumbar plexus in the psoas compartment which allows nerve stimulation for the location of the plexus and catheter placement for extended-duration surgery and postoperative patient-controlled regional analgesia. A frequent incidence of total lumbar plexus block was observed.

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