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Development of a policy for patients receiving neuromuscular blocking agents
G Earl1, M B McMahon, M Bartley
1Cooper Hospital/University Medical Center, Camden, NJ, USA.
Abstract
Purpose:
To develop a policy to standardize the care of patients paralyzed with neuromuscular blocking agents (NMBAs).
Methods:
Criteria were developed to assess adherence to the policy. Categorical and continuous data were collected and analyzed.
Results:
Deficiencies were identified in frequency of train-of-four monitoring and in carrying out daily discontinuation of NMBAs to allow effects of paralysis to dissipate.
Conclusions:
The policy was useful as an educational tool. A NMBA order form should be developed to improve adherence to the policy.