Neuromuscular monitoring

Area of Science:

• Anesthesiology
• Neuromuscular Physiology

Background:

• Neuromuscular monitoring is crucial during anesthesia.
• Residual neuromuscular block can lead to postoperative complications.

Purpose of the Study:

• To review current techniques for monitoring neuromuscular function during anesthesia.
• To highlight the importance of objective monitoring for preventing residual curarization.

Main Methods:

• Review of recent literature on neuromuscular monitoring techniques.
• Discussion of acceleromyography, surface electromyography, and acoustic myography.
• Evaluation of methods for intense neuromuscular block and residual curarization.

Main Results:

• Acceleromyography is effective for facial and hand muscle monitoring.
• Laryngeal, diaphragmatic surface electromyography, and acoustic myography offer alternative monitoring methods.
• Objective monitoring is essential for managing intense neuromuscular blocks and preventing residual curarization.

Conclusions:

• Current evidence supports increased attention to residual curarization.
• Objective methods for neuromuscular function monitoring should be routinely employed by anesthetists.
• Proper monitoring can significantly reduce postoperative residual neuromuscular blockade.