Monitoring and preventive care of the paralyzed patient in respiratory failure.
It is our belief, based on our experience with the Dulin-Williams protocol, that the safe use of a continuous-infusion NMBA is optimized when a constant current peripheral nerve stimulator is used to monitor the depth of neuromuscular blockade. This protocol should facilitate the chance of adverse effects, thereby increasing the quality of patient care and outcomes within the critical care setting.
Dulin
P G
PG
Intensive Care Unit, Florida Hospital Medical Center, Orlando.
Williams
C J
CJ
D001007:Anxiety / Q000517:prevention & control; D002985:Clinical Protocols; D004558:Electric Stimulation; D006801:Humans; D008991:Monitoring, Physiologic / Q000379:methods; D009466:Neuromuscular Blocking Agents / Q000008:administration & dosage; D010146:Pain / Q000517:prevention & control; D010243:Paralysis / Q000139:chemically induced / Q000451:nursing*; D010525:Peripheral Nerves / Q000502:physiology; D012131:Respiratory Insufficiency / Q000451:nursing* / Q000628:therapy
D009466:Neuromuscular Blocking Agents