Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu 610041, China.
Sensors (Basel). 2022 Mar 22;22(7):2448. doi: 10.3390/s22072448.
Complications related to neuromuscular blockade (NMB) could occur during anesthesia induction, maintenance, and emergency. It is recommended that neuromuscular monitoring techniques be utilized perioperatively to avoid adverse outcomes. However, current neuromuscular monitoring methods possess different shortcomings. They are cumbersome to use, susceptible to disturbances, and have limited alternative monitoring sites. Phonomyography (PMG) monitoring based on the acoustic signals yielded by skeletal muscle contraction is emerging as an interesting and innovative method. This technique is characterized by its convenience, stable signal quality, and multimuscle recording ability and shows great potential in the application field. This review summarizes the progression of PMG on perioperative neuromuscular monitoring chronologically and presents the merits, demerits, and challenges of PMG-based equipment, aiming at underscoring the potential of PMG-based apparatuses for neuromuscular monitoring.
在麻醉诱导、维持和急救期间，可能会发生与神经肌肉阻滞（NMB）相关的并发症。建议在围手术期使用神经肌肉监测技术，以避免不良后果。然而，目前的神经肌肉监测方法存在不同的缺点。它们使用起来繁琐，容易受到干扰，并且替代监测部位有限。基于骨骼肌收缩产生的声信号的声肌图（PMG）监测作为一种有趣和创新的方法正在出现。该技术具有方便、信号质量稳定和多肌肉记录能力的特点，在应用领域具有很大的潜力。本文综述了 PMG 在围手术期神经肌肉监测中的进展，并介绍了基于 PMG 的设备的优缺点和挑战，旨在强调基于 PMG 的设备在神经肌肉监测中的潜力。
