Anesth Pain Med > Volume 19(1); 2024 > Article |
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FUNDING
The present study was supported by grants from the Clinical Medicine Research Institute at Chosun University Hospital, 2023.
Author (yr) | NMBAs | Reversal agents | Monitoring methods | Monitoring sites | Monitoring features | Note |
---|---|---|---|---|---|---|
Kim et al. (2019) [32] | Rocuronium | Pyridostigmine | None | - | Not mentioned. | Although the NMT module was prepared, the authors deemed it unnecessary. |
Kappor et al. (2021) [33] | Atracurium | Neostigmine | None | - | Monitored visual notching of capnograph. | The authors thought PNS would be ineffective. |
Naguib and Samarkandi (1998)[34] | Atracurium, Mivacurium | Neostigmine | AMG (TOF) | AP | Normal responses to both atracurium and mivacurium. | No evidence of prolonged response to atracurium and mivacurium. |
Pogson et al. (2000) [12] | Vecuronium | Neostigmine | PNS (TOF) | AP | Only the T1 response showed at the PACU. All four responses were observed after additional use of neostigmine. | PNS was not utilized until the patient exhibited distress in the PACU because there were no issues during the previous anesthesia. |
Schmitt and Münster (2006) [25] | Mivacurium | None | AMG (TOF) | AP and OO | Faster onset at AP than OO. | Wide inter-patient variability. |
Similar recovery at AP and OO. | ||||||
Near normal response to mivacurium. | ||||||
Schmitt et al. (2006) [35] | Mivacurium | Not mentioned | AMG (TOF) | AP and OO | Similar to normal neuromuscular blockade profiles. | Pediatric patients. |
Gálvez-Cañellas (2013) [26] | Rocuronium | Sugammadex | AMG (ST, TOF) | AP and CS | Despite the absence of response in the AP, the response at the CS showed a 5 to 10% response. | CS could be useful and should be considered when access to the AP is challenging or impossible despite its inaccuracies. |
Hiramatsu et al. (2022) [10] | Rocuronium | Sugammadex | AMG (TOF, PTC) | AP | Different response on both forearm. | Prolonged respiratory paralysis refractory to sugammadex. |
- Unable to monitor NMT at left arm while it was possible at right arm. | ||||||
- TOF ratio: > 0.9 on right AP vs. 0 on left AP). |