Research Article
Understanding Neuromuscular Monitoring
Author(s):
Paweł Radkowski*, Agnieszka Baranska, Justyna Dawidowska Fidrych, Marcin Mieszkowski, Oliwia Mandziuk-Radkowska, Bartosz Kedziora and Jakub Rusc
Introduction: Neuromuscular blocking agents are an important component of anesthesia. The effect of muscle relaxants is possible to evaluate by using instrumental objective neuromuscular monitoring. It cannot be determined by clinical tests. The procedure that allows us to measure the muscular response to electrical stimulation of the compatible motor nerve is called relaxometry. Despite anesthesia societies’ recommendations, objective neuromonitoring is still not routinely used in clinical practice.
Aim: The aim of this paper is to present the basic principles of neurostimulation, patterns of nerve stimulation and equipment used for neuromuscular monitoring.
Result: The adductor pollicis muscle is routinely used to monitor neuromuscular transmission (gold standard), nevertheless it cannot be regarded as repr.. Read More»
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