KMID : 1155520210160020133
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Anesthesia and Pain Medicine 2021 Volume.16 No. 2 p.133 ~ p.137
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The latest trend in neuromuscular monitoring: return of the electromyography
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Lee Won-Jin
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Abstract
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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.
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KEYWORD
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Delayed emergence from anesthesia, Electromyography, Neuromuscular blocking agents, Neuromuscular monitoring
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