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Post by Meginnis on Sept 30, 2018 19:51:44 GMT -5
As stated TOF is subjective and not objective. Residual neuromuscular blockade can lead to hypoventilation, hypoxia, atelectasis, pneumonia and reintubation. Acceleromyography monitoring would be an additional tool to be used in conjunction with clinical judgement.
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Post by darolyn on Sept 30, 2018 21:18:26 GMT -5
I am restating what was previously noted that TOF is subjective. Some of the the draw backs are seen in the form of inadequate neuromuscular blockade, as well as, the converse of inadequate reversal based upon this subjective assessment Because of this the patient is at risk for pneumonia, hypoventilation, reintubation. Would I consider using Acceleromyography monitor, I may but I would not rely solely on it. It would be another layer to my assessment.
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Post by jswitzman on Oct 1, 2018 9:42:11 GMT -5
I thick Acceleromygographic monitoring would enhance patient safety. I reverse every patient with the appropriate dose/weight mg even if it has been hours because visual, tactile and TOF can be subjective. It depends where (which nerve) we measure TOF and how we interpret the TOF too.
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