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KMID : 1155520170120010001
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Anesthesia and Pain Medicine
2017 Volume.12 No. 1 p.1 ~ p.8
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What anesthesiologists ask to know and should know about the neuromuscular monitoring: an updated review
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Lee Sang-Seok
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Abstract
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The increase in mortality and morbidity associated with the use of muscle relaxants, is associated with a lack of clinical pharmacological knowledge of the drugs, and a lack of understanding the risk of postoperative residual curarization. This is due to the absence of standards for neuromuscular monitoring. Clinicians experienced in neuromuscular monitoring and using muscle relaxants in the clinic may have some queries regarding the monitoring: Why should neuromuscular monitoring be done? Are clinical tests really not effective? Why is it not good when I actually perform neuromuscular monitoring? Would using sugammadex not require neuromuscular monitoring? This review answers most of the questions that many clinicians have, and also forwards the knowledge required of clinicians.
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KEYWORD
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Acceleromyography, Muscle relaxation, Neuromuscular monitoring, Postoperative residual curarization, Sugammadex, Train-of-four
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