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The latest trend in neuromuscular monitoring: return of the electromyography

Lee W

To reduce the risk of residual neuromuscular blockade, neuromuscular monitoring must be performed. Acceleromyography (AMG)-based neuromuscular monitoring was regarded as “clinical gold standard” and widely applied. However, issues related to...
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Application of Skin Electrodes for Intraoperative Neuromonitoring of Recurrent Laryngeal Nerve

Lee HS

Efficiency of intraoperative neuromonitoring (IONM) for recurrent laryngeal nerve (RLN) during thyroid or parathyroid surgery has been well established. Electromyogram (EMG) tube has been utilized as a standard method of...
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Effects of dexamethasone and hydrocortisone on rocuronium-induced neuromuscular blockade and reversal by sugammadex in phrenic nerve-hemidiaphragm rat model

Choi H, Park SY, Kim YB, In J, Yang HS, Lee JS, Kim S, Park S

BACKGROUND: The facilitator effects of steroids on neuromuscular transmission may cause resistance to neuromuscular blocking agents. Additionally, steroids may hinder sugammadex reversal of neuromuscular blockade, but these findings remain controversial....
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Comparison of sugammadex and pyridostigmine bromide for reversal of rocuronium-induced neuromuscular blockade in short-term pediatric surgery: a prospective randomized study

An J, Kim E, Lee J, Kim H, Son J, Huh J, Woo K

BACKGROUND: Sugammadex reverses rocuronium-induced neuromuscular blockade quickly and effectively. Herein, we compared the efficacy of sugammadex and pyridostigmine in the reversal of rocuronium-induced light block or minimal block in pediatric...
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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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Nefopam does not influence onset and recovery profiles of rocuronium-induced neuromuscular block: a prospective, double-blinded, randomized, controlled study

So KY, Moon HM, Kim SH

BACKGROUND: We investigated the hypothesis that pretreatment with nefopam 20 mg would influence the onset and recovery profiles of rocuronium-induced neuromuscular block. METHODS: After Institutional Review Board approval, 134 patients, aged...
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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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Effect of dexamethasone on the onset time and recovery profiles of cisatracurium

So KY, Kim SH, Jung KT, Kim DW

BACKGROUND: The effect of dexamethasone injection on cisatracurium-induced neuromuscular block was compared according to different injection time points. METHODS: One hundred seventeen patients were randomly assigned to three groups: 8 mg...
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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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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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Relationship between first-twitch depression and train-of-four ratio during sugammadex reversal of rocuronium-induced neuromuscular blockade

Kim KS, Oh YN, Kim TY, Oh SY, Sin YH

BACKGROUND: The primary outcome of sugammadex reversal for rocuronium-induced neuromuscular block (NMB) is a train-of-four ratio (TOFR) of 0.9, not first twitch (T1) height. We investigated whether the recovery of...
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Comparison of clinical validation of acceleromyography and electromyography in children who were administered rocuronium during general anesthesia: a prospective double-blinded randomized study

Jung W, Hwang M, Won YJ, Lim BG, Kong MH, Lee IO

BACKGROUND: Electromyography and acceleromyography are common neuromuscular monitoring devices. However, questions still remain regarding the use of acceleromyography in children. This study compared the calibration success rates and intubation conditions...
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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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Effect of pneumoperitoneum on the recovery from intense neuromuscular blockade by rocuronium in healthy patients undergoing laparoscopic surgery

Kim HS, Lee DC, Lee MG, Son WR, Kim YB

BACKGROUND: This study investigated the effect of pneumoperitoneum on the recovery from intense neuromuscular blockade by rocuronium in healthy patients undergoing laparoscopic abdominal surgery. METHODS: Thirty adult patients undergoing laparoscopic abdominal...
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A comparison of the clinical duration and recovery characteristics of cisatracurium after priming using rocuronium or cisatracurium: preliminary study

Jung KT, Kim JW, Kim TK, An TH

BACKGROUND: The priming technique can speed up the onset of cisatracurium during intubation. However, there have been no reports on the effect of the priming technique on duration or recovery...
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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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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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The Relationship of the Anthropometric Variables to the Infusion Rate of Rocuronium in the Elderly

Koo BN, Bai SJ, Shin YS, Lee WC

We have determined the infusion rates of rocuronium in the elderly and young adult patients during sevoflurane and nitrous oxide anesthesia. The correlation of some anthropometric predictors with infusion rate...
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Comparison of Tactile DBS and TOF Fade Evaluated Intubation Conditions after Vecuronium Administration

Kim JS, Kang KS, Kim CS, Kim SC, Kim SY

The tactile DBS and TOF fade evaluated intubation conditions under the neuromuscular blockade induced with vecuronium was studied in 40 cases who were ASA 1 or 2 adult patients. All...
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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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