Acceleromyography as a guide to anesthetic management: a case report.
We present a case of prolonged recovery from mivacurium. Neuromuscular monitoring using acceleromyography was extremely helpful following attempted reversal of residual block in determining when tracheal extubation could be safely performed. If a method of objective estimation of the TOF ratio had not been available, tracheal extubation would have taken place at a time when the train-of-four fade ratio was below 0.40.
Kopman
Aaron F
AF
Department of Anesthesiology, St. Vincent's Medical Center Manhattan, New York, NY 10011, USA. akopman@rcn.com
Sinha
Nidhi
N
D000328:Adult; D000758:Anesthesia / Q000379:methods*; D004558:Electric Stimulation; D005260:Female; D006801:Humans; D007546:Isoquinolines; D000077590:Mivacurium; D016343:Monitoring, Intraoperative; D009119:Muscle Contraction; D009213:Myography; D019148:Neuromuscular Blockade; D009469:Neuromuscular Junction / Q000502:physiology; D003473:Neuromuscular Nondepolarizing Agents; D009435:Synaptic Transmission
D007546:Isoquinolines; D003473:Neuromuscular Nondepolarizing Agents; D000077590:Mivacurium