Perioperative neuromuscular blockade. 2020 update of the SEDAR (Sociedad Española de Anestesiología y Reanimación) recommendations.

We present an update of the 2020 Recommendations on neuromuscular blockade of the SEDAR. The previous ones dated 2009. A modified Delphi consensus analysis (experts, working group, and previous extensive bibliographic revision) 10 recommendations were produced: neuromuscular blocking agents were recommended for endotracheal intubation and to avoid faringo-laryngeal and tracheal lesions, including critical care patients.

Recommendations on the use of deep neuromuscular blockade by anaesthesiologists and surgeons. AQUILES (Anestesia QUIrúrgica para Lograr Eficiencia y Seguridad) Consensus.

Introduction: Neuromuscular blockade enables airway management, ventilation and surgical procedures. However there is no national consensus on its routine clinical use. The objective was to establish the degree of agreement among anaesthesiologists and general surgeons on the clinical use of neuromuscular blockade in order to make recommendations to improve its use during surgical procedures.

Tolerance and Safety of 5 Models of Sedation During Endobronchial Ultrasound.

Introduction: Sedation during endobronchial ultrasound (EBUS) is essential due to the long duration of this procedure. We evaluated different models of sedation and their complications.

Method: A multicenter, prospective, observational study of 307 patients undergoing EBUS was conducted.

[Tracheal laceration during intubation with a Frova introducer].

Chest trauma is the most frequent cause of tracheobronchial injury. Less common but potentially serious are lesions caused during intubation maneuvers in a difficult airway, during repeated attempts, or with stylets or other introducers. Though rare, airway lesions are life-threatening complications.