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Updated: Apr 6, 2026

Deep Neuromuscular Blockade Leads to a Larger Intraabdominal Volume During Laparoscopy
Published on: June 25, 2013
[Challenges when improving surgical conditions by use of neuromuscular blockade]
Sarah Isak Julin1, Emilie Øberg, Mona Ring Gätke
1Anæstesiologisk Afdeling, Herlev Hospital, Herlev Ringvej 75, 2730 Herlev. matias.vested.madsen@regionh.dk.
Abstract:
Neuromuscular blockade (NMB) may pose a clinical dilemma between surgeons' requirements of muscle relaxation and the risk of residual blockade. This review has aimed at describing the challenges when using NMB for optimizing surgical conditions and reasons for inadequate relaxation despite use of NMB. Interdisciplinary collaboration, proper neuromuscular monitoring, knowledge on differences in pharmacodynamics and pharmacokinetics of NMB are essential factors when optimizing surgical conditions by use of NMB.
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