Objectives: To report any item documenting the peroperative muscle relaxant effects management in anaesthesia files issued from visceral surgery processes.
Type Of Study: Prospective, observational and multicenter.
Patients And Methods: A single operator analysed 1453 files proposed by nine anaesthetists' teams.
Ann Fr Anesth Reanim
February 2007
Objective: This study was undertaken to quantify the use of chronic medication and herbal remedies in the presurgical population.
Study Design: Prospective multicenter survey.
Patients And Methods: Adult patients presenting for anaesthesia were directly asked if they were currently using chronic medication or herbal remedies.
Background: To avoid postoperative residual neuromuscular block there is a need for a change in clinician's attitude towards monitoring and reversal. This study aims to evaluate changes of perioperative neuromuscular block management during the last decade in our institution and to quantify the incidence of postoperative residual neuromuscular block.
Methods: Patients receiving intermediate-acting neuromuscular blocking agents for scheduled surgical procedures during 3-month periods in 1995 (n=435), 2000 (n=130), 2002 (n=101), and in 2004 (n=218) were prospectively and successively enrolled in our study.
We have investigated residual block after anaesthesia which included the use of the neuromuscular blocking agent vecuronium but no anticholinesterase, in 568 consecutive patients on admission to the recovery room. The ulnar nerve was stimulated submaximally using TOF stimulation (30 mA). Postoperative residual curarization was defined as a TOF ratio < 0.
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