Residual neuromuscular blockade: incidence, assessment, and relevance in the postoperative period.

@article{Murphy2006ResidualNB,
  title={Residual neuromuscular blockade: incidence, assessment, and relevance in the postoperative period.},
  author={Glenn S. Murphy},
  journal={Minerva anestesiologica},
  year={2006},
  volume={72 3},
  pages={97-109}
}
The residual effects of neuromuscular blocking agents may persist into the early postoperative recovery period, even when neuromuscular blockade is carefully monitored and reversed in the operating room. Recent data suggest that mild degrees of residual paresis (train-of-four TOF ratios of 0.7-0.9) may be associated with significant impairment of respiratory and pharyngeal muscle function. Therefore, the new gold standard reflecting acceptable neuromuscular recovery is a TOF ratio > or =0.9… CONTINUE READING

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