Does perioperative tactile evaluation of the train-of-four response influence the frequency of postoperative residual neuromuscular blockade?

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Standard

Does perioperative tactile evaluation of the train-of-four response influence the frequency of postoperative residual neuromuscular blockade? / Pedersen, T; Viby-Mogensen, J; Bang, U; Olsen, Niels Vidiendal; Jensen, E; Engboek, J.

I: Anesthesiology, Bind 73, Nr. 5, 11.1990, s. 835-9.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Harvard

Pedersen, T, Viby-Mogensen, J, Bang, U, Olsen, NV, Jensen, E & Engboek, J 1990, 'Does perioperative tactile evaluation of the train-of-four response influence the frequency of postoperative residual neuromuscular blockade?', Anesthesiology, bind 73, nr. 5, s. 835-9.

APA

Pedersen, T., Viby-Mogensen, J., Bang, U., Olsen, N. V., Jensen, E., & Engboek, J. (1990). Does perioperative tactile evaluation of the train-of-four response influence the frequency of postoperative residual neuromuscular blockade? Anesthesiology, 73(5), 835-9.

Vancouver

Pedersen T, Viby-Mogensen J, Bang U, Olsen NV, Jensen E, Engboek J. Does perioperative tactile evaluation of the train-of-four response influence the frequency of postoperative residual neuromuscular blockade? Anesthesiology. 1990 nov.;73(5):835-9.

Author

Pedersen, T ; Viby-Mogensen, J ; Bang, U ; Olsen, Niels Vidiendal ; Jensen, E ; Engboek, J. / Does perioperative tactile evaluation of the train-of-four response influence the frequency of postoperative residual neuromuscular blockade?. I: Anesthesiology. 1990 ; Bind 73, Nr. 5. s. 835-9.

Bibtex

@article{395414d9c64a45f088483a47d6c9542e,
title = "Does perioperative tactile evaluation of the train-of-four response influence the frequency of postoperative residual neuromuscular blockade?",
abstract = "The authors conducted a randomized controlled clinical trial to evaluate the usefulness of perioperative manual evaluation of the response to train-of-four (TOF) nerve stimulation. A total of 80 patients were divided into four groups of 20 each. For two groups (one given vecuronium and one pancuronium), the anesthetists assessed the degree of neuromuscular blockade during operation and during recovery from neuromuscular blockade by manual evaluation of the response to TOF nerve stimulation. In the other two groups, one of which received vecuronium and the other pancuronium, the anesthetists evaluated the degree of neuromuscular blockade solely by clinical criteria. The use of a nerve stimulator was found to have no effect on the dose of relaxant given during anesthesia, on the need for supplementary doses of anticholinesterase in the recovery room, on the time from end of surgery to end of anesthesia, or on the incidence of postoperative residual neuromuscular blockade evaluated clinically. The median (and range of) TOF ratios recorded in the recovery room were 0.75 (0.33-0.96) and 0.79 (0.10-0.97) in the vecuronium groups monitored with and without a nerve stimulator, respectively. These ratios were significantly higher than those found in the pancuronium groups, which wre 0.66 (0.06-0.90) and 0.63 (0.29-0.95), respectively. However, no difference was found between the vecuronium and pancuronium groups in the number of patients showing clinical signs of residual neuromuscular blockade, as evaluated by the 5-s head-lift test.(ABSTRACT TRUNCATED AT 250 WORDS)",
keywords = "Aged, Electric Stimulation, Female, Humans, Intraoperative Period, Male, Middle Aged, Monitoring, Intraoperative, Neuromuscular Blocking Agents, Neuromuscular Junction, Pancuronium, Postoperative Period, Touch, Ulnar Nerve, Vecuronium Bromide",
author = "T Pedersen and J Viby-Mogensen and U Bang and Olsen, {Niels Vidiendal} and E Jensen and J Engboek",
year = "1990",
month = nov,
language = "English",
volume = "73",
pages = "835--9",
journal = "Anesthesiology",
issn = "0003-3022",
publisher = "Lippincott Williams & Wilkins",
number = "5",

}

RIS

TY - JOUR

T1 - Does perioperative tactile evaluation of the train-of-four response influence the frequency of postoperative residual neuromuscular blockade?

AU - Pedersen, T

AU - Viby-Mogensen, J

AU - Bang, U

AU - Olsen, Niels Vidiendal

AU - Jensen, E

AU - Engboek, J

PY - 1990/11

Y1 - 1990/11

N2 - The authors conducted a randomized controlled clinical trial to evaluate the usefulness of perioperative manual evaluation of the response to train-of-four (TOF) nerve stimulation. A total of 80 patients were divided into four groups of 20 each. For two groups (one given vecuronium and one pancuronium), the anesthetists assessed the degree of neuromuscular blockade during operation and during recovery from neuromuscular blockade by manual evaluation of the response to TOF nerve stimulation. In the other two groups, one of which received vecuronium and the other pancuronium, the anesthetists evaluated the degree of neuromuscular blockade solely by clinical criteria. The use of a nerve stimulator was found to have no effect on the dose of relaxant given during anesthesia, on the need for supplementary doses of anticholinesterase in the recovery room, on the time from end of surgery to end of anesthesia, or on the incidence of postoperative residual neuromuscular blockade evaluated clinically. The median (and range of) TOF ratios recorded in the recovery room were 0.75 (0.33-0.96) and 0.79 (0.10-0.97) in the vecuronium groups monitored with and without a nerve stimulator, respectively. These ratios were significantly higher than those found in the pancuronium groups, which wre 0.66 (0.06-0.90) and 0.63 (0.29-0.95), respectively. However, no difference was found between the vecuronium and pancuronium groups in the number of patients showing clinical signs of residual neuromuscular blockade, as evaluated by the 5-s head-lift test.(ABSTRACT TRUNCATED AT 250 WORDS)

AB - The authors conducted a randomized controlled clinical trial to evaluate the usefulness of perioperative manual evaluation of the response to train-of-four (TOF) nerve stimulation. A total of 80 patients were divided into four groups of 20 each. For two groups (one given vecuronium and one pancuronium), the anesthetists assessed the degree of neuromuscular blockade during operation and during recovery from neuromuscular blockade by manual evaluation of the response to TOF nerve stimulation. In the other two groups, one of which received vecuronium and the other pancuronium, the anesthetists evaluated the degree of neuromuscular blockade solely by clinical criteria. The use of a nerve stimulator was found to have no effect on the dose of relaxant given during anesthesia, on the need for supplementary doses of anticholinesterase in the recovery room, on the time from end of surgery to end of anesthesia, or on the incidence of postoperative residual neuromuscular blockade evaluated clinically. The median (and range of) TOF ratios recorded in the recovery room were 0.75 (0.33-0.96) and 0.79 (0.10-0.97) in the vecuronium groups monitored with and without a nerve stimulator, respectively. These ratios were significantly higher than those found in the pancuronium groups, which wre 0.66 (0.06-0.90) and 0.63 (0.29-0.95), respectively. However, no difference was found between the vecuronium and pancuronium groups in the number of patients showing clinical signs of residual neuromuscular blockade, as evaluated by the 5-s head-lift test.(ABSTRACT TRUNCATED AT 250 WORDS)

KW - Aged

KW - Electric Stimulation

KW - Female

KW - Humans

KW - Intraoperative Period

KW - Male

KW - Middle Aged

KW - Monitoring, Intraoperative

KW - Neuromuscular Blocking Agents

KW - Neuromuscular Junction

KW - Pancuronium

KW - Postoperative Period

KW - Touch

KW - Ulnar Nerve

KW - Vecuronium Bromide

M3 - Journal article

C2 - 1978613

VL - 73

SP - 835

EP - 839

JO - Anesthesiology

JF - Anesthesiology

SN - 0003-3022

IS - 5

ER -

ID: 47240971