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Residual Paralysis in the PACU after a Single Intubating Dose of Nondepolarizing Muscle Relaxant with an Intermediate Duration of Action
After a single dose of intermediate-duration muscle relaxant and no reversal, residual paralysis is common, even more than 2 h after the administration of muscle relaxants, as shown in patients enrolled in this study.
Optimizing preoxygenation in adults
This CPD module recommends that all patients be preoxygenated, and recommends the TVB 3 min and the 8 DB 60 sec techniques are suitable for most patients; however, the 4 DB 30 sec is inadequate.
Residual Paralysis after Emergence from Anesthesia
The data in the current literature on residual paralysis were obtained with acetylcholinesterase inhibitors as the only agents available to accelerate neuromuscular recovery, and assessment of practice in this regard is relevant now that sugammadex, a selective binding agent, has become available in certain parts of the world.
Tactile Fade Detection with Hand or Wrist Stimulation Using Train-of-Four, Double-Burst Stimulation, 50-Hertz Tetanus, 100-Hertz Tetanus, and Acceleromyography
To exclude residual paralysis, TOF, DBS, and 50-Hz tetanus are inadequate, 100- Hz tetanus is unreliable, and acceleromyography performs best.
Neuromuscular blockade at the larynx, the diaphragm and the corrugator supercilii muscle: a review
Research during the last 15 years has greatly enhanced knowledge about how muscles react differently to muscle relaxants and has enabled us to achieve better surgical conditions with safer use of muscle relaxant and the “ideal” method of neuromuscular monitoring.
Residual paralysis: a real problem or did we invent a new disease?
  • F. Donati
  • Medicine
    Canadian Journal of Anesthesia/Journal canadien d…
  • 27 April 2013
Careful monitoring and delaying the administration of neostigmine until four twitches are observed at the adductor pollicis can decrease the incidence of residual paralysis.
Rocuronium (ORG 9426) neuromuscular blockade at the adductor muscles of the larynx and adductor pollicis in humans
It is concluded that with rocuronium onset and recovery are faster at the laryngealAdductor muscles, but blockade is less intense than at the adductor pollicis.
Review article: Video-laryngoscopy: another tool for difficult intubation or a new paradigm in airway management?
The greater effectiveness of video-laryngoscopes associated with multi-person visualization could enhance overall patient safety during airway management and introduce some issues that need to be addressed to avoid potentially dangerous pitfalls.
Concentration–Effect Relation of Succinylcholine Chloride during Propofol Anesthesia
Succinylcholine is a low-potency drug with a very fast clearance that equilibrates relatively slowly with the effect compartment that is greatly accountable by a rapid hydrolysis in plasma.