Lamberg James J, Answine Joseph F
Department of Anesthesiology, Pennsylvania State University Milton S Hershey Medical Center, Pennsylvania, USA.
J Anaesthesiol Clin Pharmacol. 2013 Apr;29(2):244-7. doi: 10.4103/0970-9185.111654.
Evaluation of the degree of neuromuscular blockade by the surgeon using clinical criteria alone is unreliable. We report a case of prolonged neuromuscular blockade lasting 5.5 h, where an additional intra-operative dose of neuromuscular relaxant was given at the request of the surgical team. Possible causes of prolonged neuromuscular antagonism are discussed, as is the importance of neuromuscular assessment prior to the administration of additional neuromuscular blocking agents when receiving a surgeon request for additional neuromuscularblockade.
仅靠临床标准由外科医生评估神经肌肉阻滞程度是不可靠的。我们报告了一例持续5.5小时的延长神经肌肉阻滞病例，术中应手术团队要求额外给予了一剂神经肌肉松弛剂。文中讨论了神经肌肉拮抗延长的可能原因，以及在接到外科医生追加神经肌肉阻滞剂的请求时，在给予额外神经肌肉阻滞剂之前进行神经肌肉评估的重要性。
