Vollrelaxation: Nutzen und Risiken

Translated title of the contribution: Deep neuromuscular blockade: Benefits and risks

C. Unterbuchner, M. Blobner

Research output: Contribution to journalReview articlepeer-review

7 Scopus citations

Abstract

Neuromuscular blockade (TOF count = 0) can improve tracheal intubation and microlaryngeal surgery. It is also frequently used in many surgical fields including both nonlaparoscopic and laparoscopic surgery to improve surgical conditions and to prevent sudden muscle contractions. Currently there is a controversy regarding the need and the clinical benefits of deep neuromuscular blockade for different surgical procedures. Deep neuromuscular relaxation improves laparoscopic surgical space conditions only marginally when using low intra-abdominal pressure. There is no outcome-relevant advantage of low compared to higher intra-abdominal pressures, but worsen the surgical conditions. Postoperative, residual curarisation can be avoided by algorithm-based pharmacological reversing and quantitative neuromuscular monitoring.

Translated title of the contributionDeep neuromuscular blockade: Benefits and risks
Original languageGerman
Pages (from-to)165-176
Number of pages12
JournalAnaesthesist
Volume67
Issue number3
DOIs
StatePublished - 1 Mar 2018
Externally publishedYes

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