Residual Neuromuscular Block Remains a Safety Concern for Perioperative Healthcare Professionals: A Comprehensive Review
Residual neuromuscular block (RNMB) remains a significant safety concern for patients throughout the perioperative period and is still widely under-recognized by perioperative healthcare professionals. Current literature suggests an association between RNMB and an increased risk of postoperative pul...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-02-01
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| Series: | Journal of Clinical Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2077-0383/13/3/861 |
| _version_ | 1797318522331725824 |
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| author | Franziska Elisabeth Blum Andrew R. Locke Naveen Nathan Jeffrey Katz David Bissing Mohammed Minhaj Steven B. Greenberg |
| author_facet | Franziska Elisabeth Blum Andrew R. Locke Naveen Nathan Jeffrey Katz David Bissing Mohammed Minhaj Steven B. Greenberg |
| author_sort | Franziska Elisabeth Blum |
| collection | DOAJ |
| description | Residual neuromuscular block (RNMB) remains a significant safety concern for patients throughout the perioperative period and is still widely under-recognized by perioperative healthcare professionals. Current literature suggests an association between RNMB and an increased risk of postoperative pulmonary complications, a prolonged length of stay in the post anesthesia care unit (PACU), and decreased patient satisfaction. The 2023 American Society of Anesthesiologists Practice Guidelines for Monitoring and Antagonism of Neuromuscular Blockade provide guidance for the use of quantitative neuromuscular monitoring coupled with neuromuscular reversal to recognize and reduce the incidence of RNMB. Using sugammadex for the reversal of neuromuscular block as well as quantitative neuromuscular monitoring to quantify the degree of neuromuscular block may significantly reduce the risk of RNMB among patients undergoing general anesthesia. Studies are forthcoming to investigate how using neuromuscular blocking agent reversal with quantitative monitoring of the neuromuscular block may further improve perioperative patient safety. |
| first_indexed | 2024-03-08T03:53:40Z |
| format | Article |
| id | doaj.art-673663f46e7445a08fd113483b5ffb45 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-08T03:53:40Z |
| publishDate | 2024-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-673663f46e7445a08fd113483b5ffb452024-02-09T15:16:32ZengMDPI AGJournal of Clinical Medicine2077-03832024-02-0113386110.3390/jcm13030861Residual Neuromuscular Block Remains a Safety Concern for Perioperative Healthcare Professionals: A Comprehensive ReviewFranziska Elisabeth Blum0Andrew R. Locke1Naveen Nathan2Jeffrey Katz3David Bissing4Mohammed Minhaj5Steven B. Greenberg6Department of Internal Medicine, NorthShore University HealthSystem, Evanston, IL 60201, USADepartment of Anesthesiology, Critical Care, and Pain Medicine, NorthShore University HealthSystem, Evanston, IL 60201, USADepartment of Anesthesiology, Critical Care, and Pain Medicine, NorthShore University HealthSystem, Evanston, IL 60201, USADepartment of Anesthesiology, Critical Care, and Pain Medicine, NorthShore University HealthSystem, Evanston, IL 60201, USADepartment of Anesthesiology, Critical Care, and Pain Medicine, NorthShore University HealthSystem, Evanston, IL 60201, USADepartment of Anesthesiology, Critical Care, and Pain Medicine, NorthShore University HealthSystem, Evanston, IL 60201, USADepartment of Anesthesiology, Critical Care, and Pain Medicine, NorthShore University HealthSystem, Evanston, IL 60201, USAResidual neuromuscular block (RNMB) remains a significant safety concern for patients throughout the perioperative period and is still widely under-recognized by perioperative healthcare professionals. Current literature suggests an association between RNMB and an increased risk of postoperative pulmonary complications, a prolonged length of stay in the post anesthesia care unit (PACU), and decreased patient satisfaction. The 2023 American Society of Anesthesiologists Practice Guidelines for Monitoring and Antagonism of Neuromuscular Blockade provide guidance for the use of quantitative neuromuscular monitoring coupled with neuromuscular reversal to recognize and reduce the incidence of RNMB. Using sugammadex for the reversal of neuromuscular block as well as quantitative neuromuscular monitoring to quantify the degree of neuromuscular block may significantly reduce the risk of RNMB among patients undergoing general anesthesia. Studies are forthcoming to investigate how using neuromuscular blocking agent reversal with quantitative monitoring of the neuromuscular block may further improve perioperative patient safety.https://www.mdpi.com/2077-0383/13/3/861anesthesiaperioperative careresidual neuromuscular blockquantitative monitoringneuromuscular blocking agent |
| spellingShingle | Franziska Elisabeth Blum Andrew R. Locke Naveen Nathan Jeffrey Katz David Bissing Mohammed Minhaj Steven B. Greenberg Residual Neuromuscular Block Remains a Safety Concern for Perioperative Healthcare Professionals: A Comprehensive Review Journal of Clinical Medicine anesthesia perioperative care residual neuromuscular block quantitative monitoring neuromuscular blocking agent |
| title | Residual Neuromuscular Block Remains a Safety Concern for Perioperative Healthcare Professionals: A Comprehensive Review |
| title_full | Residual Neuromuscular Block Remains a Safety Concern for Perioperative Healthcare Professionals: A Comprehensive Review |
| title_fullStr | Residual Neuromuscular Block Remains a Safety Concern for Perioperative Healthcare Professionals: A Comprehensive Review |
| title_full_unstemmed | Residual Neuromuscular Block Remains a Safety Concern for Perioperative Healthcare Professionals: A Comprehensive Review |
| title_short | Residual Neuromuscular Block Remains a Safety Concern for Perioperative Healthcare Professionals: A Comprehensive Review |
| title_sort | residual neuromuscular block remains a safety concern for perioperative healthcare professionals a comprehensive review |
| topic | anesthesia perioperative care residual neuromuscular block quantitative monitoring neuromuscular blocking agent |
| url | https://www.mdpi.com/2077-0383/13/3/861 |
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