Karnataka Anaesthesia Journal

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Monitoring Neuromuscular Blockade Using Peripheral Nerve Stimulator (PNS) – A Review


Affiliations
1 M.D., Assistant Professor, Department of Anaesthesiology & Critical Care Vijayanagar Institute of Medical Sciences (VIMS) Bellary
2 M.D., Professor and Head Department of Anaesthesiology & Critical Care Vijayanagar Institute of Medical Sciences (VIMS) Bellary
3 M.D., Professor Department of Anaesthesiology Bangalore Medical College Bangalore, India
 

Peripheral nerve stimulators are extensivesly used for monitoring neuro-muscular blockade after administration of muscle relaxant in the operation theatre as well as in ICU. Different stimulation modalities were introduced into practice to take advantage of the characteristic features of non-depolarizing neuromuscular blockade such as fade, post-tetanic facilitation. Increase in awareness of the problems of postoperative residual neuromuscular blockade in recent years has increased its use.

Keywords

Supramaximal stimulus, Train of four, Double burst stimulation
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  • Monitoring Neuromuscular Blockade Using Peripheral Nerve Stimulator (PNS) – A Review

Abstract Views: 127  |  PDF Views: 78

Authors

H. Balasubramanya
M.D., Assistant Professor, Department of Anaesthesiology & Critical Care Vijayanagar Institute of Medical Sciences (VIMS) Bellary
A. Srinivasmurthy
M.D., Professor and Head Department of Anaesthesiology & Critical Care Vijayanagar Institute of Medical Sciences (VIMS) Bellary
S. S. Harsoor
M.D., Professor Department of Anaesthesiology Bangalore Medical College Bangalore, India

Abstract


Peripheral nerve stimulators are extensivesly used for monitoring neuro-muscular blockade after administration of muscle relaxant in the operation theatre as well as in ICU. Different stimulation modalities were introduced into practice to take advantage of the characteristic features of non-depolarizing neuromuscular blockade such as fade, post-tetanic facilitation. Increase in awareness of the problems of postoperative residual neuromuscular blockade in recent years has increased its use.

Keywords


Supramaximal stimulus, Train of four, Double burst stimulation