Brief review: Neuromuscular monitoring: an update for the clinician.

摘要: To review established techniques and to provide an update on new methods for clinical monitoring of neuromuscular function relevant anesthesia. A PubMed search article the period 1985–2005 was undertaken, bibliographies were scanned additional sources. There is no substitute objective monitoring; research purposes, mechanomyography (MMG) gold standard; however, most versatile method in setting acceleromyography since it can be applied at various muscles has a long track record utility. Kinemyography valid monitor recovery transmission adductor pollicis muscle (AP), whereas phonomyography easy apply shows promising agreement with MMG. Monitoring corrugator supercilii (CS) may used determine earliest time tracheal intubation as reflects laryngeal relaxation better than P. Recovery best monitored P, last recover from blockade (NMB). If train-of-four (TOF) stimulation used, TOF-ratio > 0.9 should target before awakening patient. surgery or type anesthesia necessitates NMB certain degree, e.g., = 0.25, which reflect degree surgical site preferable. Objective Acceleromyography offers compromise respect ease use, practicality, versatility, precision applicability muscles. The CS optimal intubation, rapid sequence induction.