神经肌肉监测的最新趋势：肌电图的回归。
The latest trend in neuromuscular monitoring: return of the electromyography.
作者信息
Lee Wonjin
机构信息
Department of Anesthesiology and Pain Medicine, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea.
Paik Institute for Clinical Research, Inje University College of Medicine, Busan, Korea.
出版信息
Anesth Pain Med (Seoul). 2021 Apr;16(2):133-137. doi: 10.17085/apm.21014. Epub 2021 Apr 12.
Abstract
To reduce the risk of residual neuromuscular blockade, neuromuscular monitoring must be performed. Acceleromyography (AMG)-based neuromuscular monitoring was regarded as "clinical gold standard" and widely applied. However, issues related to patient's posture and overestimation of train-of-four ratio associated with AMG-based neuromuscular monitoring have increased. Recently, electromyography (EMG)-based neuromuscular monitoring is receiving renewed attention, since it overcomes AMG's weaknesses. However, both AMG-based and EMG-based systems are useful when certain considerations are followed. Ultimately, to assure the patient's good outcomes, the choice of monitoring system is not as important as the monitoring itself, which should be always implemented in such patients.
摘要
为降低残余神经肌肉阻滞的风险，必须进行神经肌肉监测。基于加速度肌电图（AMG）的神经肌肉监测被视为“临床金标准”并得到广泛应用。然而，与基于AMG的神经肌肉监测相关的患者姿势问题以及对四个成串刺激比值的高估情况有所增加。近来，基于肌电图（EMG）的神经肌肉监测重新受到关注，因为它克服了AMG的缺点。然而，只要遵循某些注意事项，基于AMG和基于EMG的系统都是有用的。最终，为确保患者获得良好预后，监测系统的选择不如监测本身重要，此类患者应始终进行监测。
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