Schneider Gerhard
Klinik für Anaesthesiologie, Klinikum rechts der Isar der Technischen Universität München.
Anasthesiol Intensivmed Notfallmed Schmerzther. 2009 May;44(5):358-64; quiz 366, 379. doi: 10.1055/s-0029-1224783. Epub 2009 May 13.
Neuromuscular blockade in ICU patients has become less popular, in particular since non-invasive methods of artificial respiration have been introduced. Succinylcholine has numerous side effects. Due to its short onset, Rocuronium may be an alternative. The advantage of Atracurium and Cis-Atracurium is a largely organ-independent metabolism. In ICU patients, neuromuscular monitoring should be applied. Prolonged action and critical illness neuropathy are the most prominent side effects of neuromuscular blockade.
在重症监护病房(ICU)患者中,神经肌肉阻滞的应用已不太普遍,尤其是自从引入了无创人工呼吸方法之后。琥珀酰胆碱有许多副作用。由于罗库溴铵起效迅速,它可能是一种替代药物。阿曲库铵和顺式阿曲库铵的优点是其代谢在很大程度上不依赖器官。在ICU患者中,应进行神经肌肉监测。神经肌肉阻滞最显著的副作用是作用时间延长和重症疾病性神经病变。