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A survey of current concepts and practices related to use of neuromuscular blockers with antagonists and neuromuscular monitoring among Korean anesthesiologists
Anesth Pain Med 2018;13(1):47-52
Published online January 31, 2018
© 2018 Korean Society of Anesthesiologists.

Sijin Choi1, Minki Jung1, Kye-Min Kim1, Sangseok Lee1 , Hong-Seuk Yang2, and Jeong-seok Lee3
1Department of Anesthesiology and Pain Medicine, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, 2Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, 3Department of Anesthesiology and Pain Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea
Correspondence to: Sangseok Lee, M.D.
Department of Anesthesiology and Pain Medicine, Sanggye Paik Hospital, Inje University College of Medicine, 1342 Dongil-ro, Nowongu, Seoul 01757, Korea
Tel: 82-2-950-1171
Fax: 82-2-950-1323
Received February 14, 2017; Revised August 27, 2017; Accepted August 28, 2017.
cc This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background: The goal of this nationwide survey was to investigate the current concepts and practices of the use of neuromuscular blockers and their antagonists, and the availability and clinical practice of neuromuscular monitoring in Korea.
Methods: After obtaining approval from the board of directors of the Korean Society of Anesthesiologists, we distributed a questionnaire via email to anesthesiology specialists with registered email addresses. The survey included questions on the availability and daily use of neuromuscular blockers, their antagonists and neuromuscular monitoring.
Results: The overall response rate was 23.7%. Rocuronium and pyridostigmine were preferred as neuromuscular blocker (92.9%) and antagonist (86.1%), respectively. Although most anesthesiologists recognized the detrimental effect of postoperative residual neuromuscular blockade (87.7%) and the importance of neuromuscular monitoring (76.3%), quantitative monitoring was available in only 51.2% of the hospitals. More than 75% of respondents still prefer to use clinical signs to evaluate the recovery from paralysis.
Conclusions: Changes in attitude and behaviors that mimic neuromuscular monitoring in Korea will be possible by regular and repeated publicity and education. Furthermore, greater distribution of neuromuscular monitoring devices and routine clinical use of these devices are also required.
Key Words : Cholinesterase inhibitors, Delayed emergence from anesthesia, Neuromuscular monitoring, Neuromuscular nondepolarizing agents, Surveys and questionnaires.

January 2018, 13 (1)
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