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Monitoring neuromuscular blockade and depth of anaesthesia

Thomas, Gary and Morgan, Matt 2011. Monitoring neuromuscular blockade and depth of anaesthesia. Anaesthesia and Intensive Care Medicine 12 (6) , pp. 271-274. 10.1016/j.mpaic.2011.03.008

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This article describes the main methods used to monitor the effects of muscle relaxants, and the ways in which they may be employed clinically to assess the effects of neuromuscular blockade and anticholinesterase drugs. It provides an overview of the main patterns of electrical stimulation used to assess residual muscle paralysis, including train-of-four and double burst stimulation. The article describes the techniques used to monitor depth of anaesthesia, and compares the advantages and disadvantages inherent in the methods currently in use. Methods based on processed electroencephalogram (EEG) signals are discussed, and include auditory evoked potentials (AEPs), bispectral index (BIS) and entropy.

Item Type: Article
Status: Published
Schools: Medicine
Publisher: Elsevier Masson
ISSN: 1472-0299
Last Modified: 27 May 2020 10:46

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