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Uventet lang virkningsvarighed af muskelrelaksantia kan forebygges

Train of four-monitorering med hånd­adapter.
Forfatter(e)
Matias Vested Madsen1, Emilie Øberg2, Jacob Rosenberg3 & Mona Ring Gätke1 1) Anæstesiologisk Afdeling, Herlev Hospital 2) Anæstesi og Operationsklinikken, HovedOrtoCentret, Rigshospitalet 3) Gastroenheden, Kirurgisk Sektion, Herlev Hospital Ugeskr Læger 2015;177:V04150300
Reference: 
Ugeskr Læger 2015;177:V04150300
Blad nummer: 
Sidetal: 
2-6
When muscle relaxants have unexpected prolonged duration during anaesthesia
Muscle relaxation facilitates tracheal intubation and improves surgical conditions during anaesthesia. However, unexpected prolonged muscle relaxation may occur. This article describes important causes of prolonged muscle relaxation and gives suggestions for its prevention. Drug interactions, incomplete reversal, co-morbidity, inaccurate neuromuscular monitoring and critical illness may prolong the effect of muscle relaxants. The anaesthetist must titrate the muscle relaxants using objective neuromuscular monitoring and proper reversal of the blockade when needed.
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