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Atracurium is associated with postoperative residual curarization
Authors:McCaul C  Tobin E  Boylan J F  McShane A J
Affiliation:Department of Anaesthesia, Intensive Care and Pain Medicine, St Vincent’s University Hospital, Elm Park, Dublin 4, Ireland*Corresponding author
Abstract:Background. Residual paralysis following the use of neuromuscularblocking drugs remains a clinical problem. As part of departmentalquality assurance, we examined the degree of postoperative residualcurarization (PORC) following atracurium. Methods. Forty patients undergoing general anaesthesia involvingatracurium were studied. Quantitative neuromuscular monitoring(mechanomyography, Myograph 2000, Biometer, Denmark) was performedby assessing the response to supramaximal train-of-four (TOF)stimulation of the ulnar nerve. Anaesthesia was provided bynon-participating clinicians who were blinded to the study data.A TOF ratio
Keywords:anaesthesia   complications, morbidity   complications, postoperative   neuromuscular block, atracurium
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