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What anesthesiologists ask to know and should know about the neuromuscular monitoring: an updated review

Lee S

The increase in mortality and morbidity associated with the use of muscle relaxants, is associated with a lack of clinical pharmacological knowledge of the drugs, and a lack of understanding...
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Postoperative residual neuromuscular blockade

Shin YS

Postoperative residual neuromuscular blockade or residual paralysis in the postanesthesia care unit is associated with postoperative complications such as muscle weakness, difficulty in breathing, airway obstruction, and hypoxemia. Residual paralysis...
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A survey of postoperative residual neuromuscular block and neuromuscular monitoring

Seo HJ, Lee YK, Lee SS, Kim KS, Yang HS

  • KMID: 2263265
  • Anesth Pain Med.
  • 2010 Jan;5(1):70-74.
BACKGROUND: To aware of postoperative residual neuromuscular block (PRNB) is important in that it can cause apnea, delay of awakening and recovery and dissatisfaction of patient.This study aimed to evaluate...
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A survey of current concepts and practices related to use of neuromuscular blockers with antagonists and neuromuscular monitoring among Korean anesthesiologists

Choi S, Jung M, Kim KM, Lee S, Yang HS, Lee JS

BACKGROUND: The goal of this nationwide survey was to investigate the current concepts and practices of the use of neuromuscular blockers and their antagonists, and the availability and clinical practice...
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Dyspnea due to Residual Neuromuscular Blockade in Elderly Patient with Unrecognized Pre-existing Unilateral Vocal Cord Paralysis

Lim CH, Kim YJ, Kim JH, Jeong JS

Muscle relaxation using neuromuscular blocking agent is an essential process for endotracheal intubation and surgery, and requires adequate recovery of muscle function after surgery. Residual neuromuscular blockade is defined as...
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Effect of levetiracetam on rocuronium duration in patients undergoing cerebrovascular surgery

Jeon YJ, Kim MH

BACKGROUND: It has long been held that antiepileptics reduce the duration of action, and increase the requirement for, neuromuscular blocking agents. However, levetiracetam, a relatively novel antiepileptic agent, possesses different...
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Late recurarization in the post-anesthetic care unit after total thyroidectomy: A case report

Kim DW, Kim BK, Kim JW, Kim JD, Ryu SJ, Kim DS

Residual paralysis, recurarization is defined as a remnant effect of neuromuscular blocking after surgery that can cause postoperative complications. Clinical complications of recurarization include dyspnea, gastric content aspiration, and atelectasis....
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Anesthetic management with neuromuscular monitoring and bispectral index in an amyotrophic lateral sclerosis patient: A case report

Bang MS, Han JW, Oh AY

Amyotrophic lateral sclerosis is a neurodegenerative disease caused by the degeneration of upper and lower motor neurons. The disorder causes muscle weakness and atrophy throughout the body. There is an...
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Unusual Prolonged Recovery of Succinylcholine - induced Neuromuscular Block Following Neostigmin

Shin YS, Choi MY, Nam SH, Park KW

We report a case of slow recovery of the neuromuscular block induced by succinylcholine (SCC) immediately after administration of neostigmine for the reversal of pancuronium. Left hemithyroidectomy was performed in...
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Response to neuromuscular blockade with rocuronium during general anesthesia in a patient with dermatomyositis: A case report

Kim SY, Lee YB

Dermatomyositis is an idiopathic inflammatory myopathy characterized by skin changes and muscle weakness. Depending on the involvement of various muscles, dermatomyositis can cause aspiration pneumonia, ventilatory impairment, and heart failure....
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The effect of hand dominance on neuromuscular monitoring at the adductor pollicis muscle

Jeong JS, Kim KS, Lee HJ, Shim JC, Lee JC, Lee JH

BACKGROUND: Neuromuscular blockade of the adductor pollicis muscle may be influenced by hand dominance resulting in conflicting results of several studies. The current study examined whether hand dominance could influence...
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Comparison of d-tubocurarine with vecuronium as the priming drug for vecuronium induced neuromuscular blockade

Jang YH, Lee HR, Han DH, Lee JK, Chung JK

Administration of a subparalytic dose of a nondepolarizing muscle relaxant prior to intubating dose hastens the onset time of neuromuscular blockade. This study was designed to investigate the influence...
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The Effect of Ketamine on the Neuromuscular Blocking Action of Vacuromium

Shin YS, Cheon MS, Koh SO, Kil HK

Comflicting results have been reported on whether ketamine potentiates the neuromuscular effect of succinylcholine or other non-depolarizing agents. Notably, there has been no reported clinical evatuation of the influence of...
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Current use of neuromuscular blocking agents and antagonists in Korea: a 2018 survey

Kim JS, Han JW, Lee JH, Choi JM, Kim HJ, Sung TY, Kim YB, Shin YS, Yang HS

BACKGROUND: Neuromuscular blocking agents (NMBAs) and neuromuscular monitoring in anesthetic management are integral for endotracheal intubation, better visualization of the surgical field, and prevention of residual neuromuscular blockade and pulmonary...
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Experience with reversal of a neuromuscular block with sugammadex in a child with Prader-Willi syndrome: A case report

Sung TY, Kang T, Cho CK, Kwon HU, Kang PS, Jee YS

We treated a 4-year-old patient with a genetic disorder, Prader-Willi syndrome, that was accompanied by pulmonary hypertension due to upper airway obstruction. Prader-Willi syndrome is a complex genetic condition characterized...
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The Effects of Furosemide on the Recovery from Neuromuscular Blockade Induced by Vecuronium

Lee GS, Chun SH, Kim SI, Lee JS, Kim SC, Park W, Kim SY

BACKGROUND: The interactions between furosemide and muscle relaxants is controversial. In this study, the effects of furosemide on the recovery from neuromuscular blockade induced by vecuronium were investigated in thirty...
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Change in the effect of rocuronium after pneumatic tourniquet release in patients undergoing unilateral total knee arthroplasty

Seo H, Koh WU, Baik J, Ro YJ, Yang HS

BACKGROUND: A pneumatic tourniquet is commonly used in orthopedic surgery. However, neuromuscular blocking agent can be sequestered in the isolated limb and be reabsorbed into the systemic circulation after tourniquet...
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Factors that affect the onset of action of non-depolarizing neuromuscular blocking agents

Kim YB, Sung TY, Yang HS

Neuromuscular blockade plays an important role in the safe management of patient airways, surgical field improvement, and respiratory care. Rapid-sequence induction of anesthesia is indispensable to emergency surgery and obstetric...
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Clinical Neuromuscular Monitoring by TOF and DBS3,3

Chon SU

Why anesthesiologists use the muscle relaxants? Because muscle relaxants are an adjunct to modem anesthesia practice today. What should be pepared whenever using a muscle relaxant? Of course, its necessary...
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A comparison of the accuracy of ulnar versus median nerve stimulation for neuromuscular monitoring

Lee HJ, Kim KS, Shim JC, Yoon SW

BACKGROUND: Inexperienced anesthesiologists are frequently unclear as to whether to stimulate the ulnar or median nerve to monitor the adductor pollicis. The primary purpose of this study was to determine...
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