Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Department of General Anesthesia, Cleveland Clinic, Cleveland, Ohio, USA.
Department of Anesthesiology, Mayo Clinic College of Medicine, Jacksonville, Florida, USA.
Anaesthesia. 2017 Jan;72 Suppl 1:16-37. doi: 10.1111/anae.13738.
Unrecognised postoperative residual neuromuscular block remains a frequent occurrence in recovery rooms. Evidence indicates that current practice continues to perpetuate the status quo, in which 10-40% of patients experience postoperative residual weakness. A departure from the current practice requires small efforts on the clinicians' part. This review addresses several selected core questions regarding neuromuscular blockade monitoring and provides a framework to rationally discuss and develop basic guidelines for the use of neuromuscular blocking agents in patient care.
在恢复室中，未被识别的术后残余神经肌肉阻滞仍然是一个常见的问题。有证据表明，目前的实践仍然延续着现状，即 10-40%的患者在术后会出现肌无力。要改变这种现状，临床医生只需付出一点小小的努力。本综述针对神经肌肉阻滞监测的几个选定核心问题进行了讨论，并为合理讨论和制定神经肌肉阻滞剂在患者护理中的使用基本指南提供了框架。
