title: Conceptual and technical insights into the basis of neuromuscular monitoring.
abstract: Unrecognised postoperative residual neuromuscular block remains a frequent occurrence in recovery rooms. Evidence indicates that current practice continues to perpetuate the status quo, in which 10-40% of patients experience postoperative residual weakness. A departure from the current practice requires small efforts on the clinicians' part. This review addresses several selected core questions regarding neuromuscular blockade monitoring and provides a framework to rationally discuss and develop basic guidelines for the use of neuromuscular blocking agents in patient care.
authors.affiliation: Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Department of General Anesthesia, Cleveland Clinic, Cleveland, Ohio, USA.
authors.forename: M
authors.initials: M
authors.lastname: Naguib
authors.affiliation: Department of Anesthesiology, Mayo Clinic College of Medicine, Jacksonville, Florida, USA.
authors.forename: S J
authors.initials: SJ
authors.lastname: Brull
authors.affiliation: Department of Anesthesiology, University of Utah, Salt Lake City, Utah, USA.
authors.forename: K B
authors.initials: KB
authors.lastname: Johnson
mesh_terms: D004558:Electric Stimulation; D004576:Electromyography; D006801:Humans; D019148:Neuromuscular Blockade; D061886:Neuromuscular Monitoring / Q000009:adverse effects / Q000379:methods*; D010525:Peripheral Nerves / Q000502:physiology; D017410:Practice Guidelines as Topic
keywords: monitoring neuromuscular function; neuromuscular blocking drugs; tetanic stimulation; train-of-four (TOF); twitch height