10.1.2018

REVIEW ARTICLE
Neuromuscular monitoring: an update

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DOI: http://dx.doi.org/10.21454/rjaic.7518.251.nrm

Mădălina Duţu, Robert Ivaşcu, Oana Tudorache, Darius Morlova, Alina Stanca, Silvius Negoiţă, Dan Corneci
Anaesthesiology and Critical Care Department, Elias Clinical Emergency Hospital, Bucharest, Romania

Abstract
This review makes an advocacy for neuromuscular blockade monitoring during anaesthesia care, by: (i) describing the fundamental principles of the methods currently available, at the same time emphasizing quantitative recording measurements; (ii) describing the different ways in which muscles respond to the effect of neuromuscular blockade and their use in clinical practice; (iii) presenting results of different studies on timing and agents of neuromuscular block reversal, including a recommendation for sugammadex use and experimental results with calabadion and (iv) in the end emphasizing the need for implementing neuromuscular monitoring as a practice that should be used every time a neuromuscular block is required.
Keywords: neuromuscular monitoring, residual neuromuscular blockade, peripheral nerve stimulator, quantitative monitoring, sugammadex, calabadion