Neuromuscular block: Monitoring, reversal, and residual blockade in small animals.

Autor: Martin-Flores M; Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York, USA.
Jazyk: angličtina
Zdroj: Veterinary ophthalmology [Vet Ophthalmol] 2023 May 29. Date of Electronic Publication: 2023 May 29.
DOI: 10.1111/vop.13112
Abstrakt: Nondepolarizing neuromuscular blocking agents are used frequently during ophthalmic surgery of dogs and cats. Residual neuromuscular block (NMB)-impaired neuromuscular function at recovery from anesthesia-is a main concern when these agents are used in small animals. In humans, residual NMB reduces the ability to protect the airway (swallow and cough) and increases the incidence of hypoxia and upper airway collapse after recovery from anesthesia. In dogs, impaired neuromuscular function of the larynx can be detected even after common indicators of neuromuscular function suggest that recovery from NMB is complete. Objective monitoring of NMB is a simple, cost-effective strategy to minimize the risk of residual NMB. This review summarizes relevant aspects of monitoring and reversal of NMB, and strategies to minimize the risk of residual NMB in clinical practice of small animals.
(© 2023 American College of Veterinary Ophthalmologists.)
Databáze: MEDLINE
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