17: Is it important to reverse to a train-of-four target of 90%? - Part 2 of 2
Depth of Anesthesia
The Effect of Cutoffs on Post-Operative Pulmonary Complication Rates
It's hard to say exactly what might have led to the difference. In this trial, most of them were using acceleromography as opposed to EMG or MMG. If they would have set a cutoff of train-of-four ratio of 0.95, it would have been associated with a statistically significant reduction in post-operative pulmonary complications of 3.5 percent risk reduction.
In this part II or II series on neuromuscular blockade, we investigate the claim that a train-of-four target of 90% is important to achieve prior to extubation.
Our guest today is Dr. Daniel Saddawi-Konefka, residency program director at Mass General.
Connect with us @DepthAnesthesia on Twitter or email us at depthofanesthesia@gmail.com.
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Music by Stephen Campbell, MD.
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References
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Section Editor(s): Brull, Sorin J.Murphy, Glenn S. MD; Szokol, Joseph W. MD; Marymont, Jesse H. MD; Greenberg, Steven B. MD; Avram, Michael J. PhD; Vender, Jeffery S. MD Residual Neuromuscular Blockade and Critical Respiratory Events in the Postanesthesia Care Unit, Anesthesia & Analgesia: July 2008 - Volume 107 - Issue 1 - p 130-137 doi: 10.1213/ane.0b013e31816d1268
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