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 can.. Read More»
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