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

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

Keywords:

Supramaximal stimulus, Train of four, Double burst stimulation

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.

Downloads

Download data is not yet available.

Downloads

How to Cite

Balasubramanya, H., Srinivasmurthy, A., & Harsoor, S. S. (2019). Monitoring Neuromuscular Blockade Using Peripheral Nerve Stimulator (PNS) – A Review. Karnataka Anaesthesia Journal, (2). Retrieved from http://karnatakaanesthesiajournal.in/index.php/kaj/article/view/139902

Issue

Issue 2, 2007

Section

Articles

References

Miller's Anaesthesia, 6th Edition,Elsevier,Churchill Livingstone ,2005.

Kopman AF: Residual post operative paralysis. Pancuronium versus Mivacurium, does it matter? Anaesthesiology 85,1253-9,1996

Rupp SM: Advances in use of muscle relaxants –Monitoring of neuro muscular blockade. Anaesthesiology Clinics of North America Vol 11, (2), 361-375,June1993.

Drenck NE, Naoyuki, Ueda, Olen NV, Engbaek J, Jensen E, Mogensen JV: Manual evaluation of residual curarisation using double burst stimulation; A comparison with TOF. Anaesthesiology 70, 578-581, 1989.