지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 조선대학교 의학연구원 Medical Biological Science and Engineering Medical Biological Science and Engineering Vol.4 No.2
- 발행연도
- 2021.1
- 수록면
- 83 - 90 (8page)
이용수
초록· 키워드
오류제보하기
Anesthetic procedures using a neuromuscular blocking drug (NMBD) always have a potential risk of residual neuromuscular block (RNMB) associated with serious respiratory complications despite the use of reversal agents. Due to the risk of RNMB, neuromuscular monitoring is a very important tool for assessing patient safety. Recently, the importance of quantitative neuromuscular monitoring has been highlighted because of the advent of sugammadex, which determines dosage based on the degree of NMB. Neuromuscular monitoring, which has been used clinically since the 1970s, is an appropriate method for assessing the level of neuromuscular blockade (NMB) after the use of a NMBD during anesthesia. Although the basic principles have not changed considerably, recent technical advances in neuromuscular monitoring devices can help anesthesiologists with convenient quantitative neuromuscular monitoring to accurately evaluate the levels of NMB, choose an appropriate NMBD, and avoid RNMB. The recently released electromyography-based devices provide more accurate values than acceleromyography (AMG). Although AMG has a problem with overestimation, modern AMG devices with new three-dimensional technology overcome this limitation. Anesthesiologists should increase their knowledge of neuromuscular mechanisms and monitoring, including how to use the latest device for proper neuromuscular monitoring and patient safety. In this review, we have explored the short history of neuromuscular monitoring devices and the latest trends in technology development.
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등록된 정보가 없습니다.
참고문헌 (3)
참고문헌 신청
Thomsen JL / 2015 / Premature awakening and underuse of neuromuscular monitoring in a registry of patients with butyrylcholinesterase deficiency / Br J Anaesth 115(Suppl 1):i89~i94
Loughnan T / 2013 / Overview of the introduction of neuromuscular monitoring to clinical anaesthesia / Anaesth Intensive Care 41(Suppl 1):19~24
Lee Wonjin / 2021 / The latest trend in neuromuscular monitoring: return of the electromyography / Anesthesia and Pain Medicine 16(2):133~137
Loughnan T / 2013 / Overview of the introduction of neuromuscular monitoring to clinical anaesthesia / Anaesth Intensive Care 41(Suppl 1):19~24
Lee Wonjin / 2021 / The latest trend in neuromuscular monitoring: return of the electromyography / Anesthesia and Pain Medicine 16(2):133~137
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