British Journal of Anaesthesia, 2003, Vol. 90, No. 4 523-524
© 2003 The Board of Management and Trustees of the British Journal of Anaesthesia
Correspondence |
Atracurium associated with postoperative residual curarization
1 Exeter, UK 2 New York, USA 3 Dublin, Eire
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EditorWe were interested to read the short communication regarding residual neuromuscular block after atracurium administration by McCaul and colleagues.1 We have recently conducted a similar survey in our hospital, based on the work by Hayes and colleagues.2 We measured the train-of-four ratio (TOFR) in adult patients in our recovery ward using a Datex Ohmeda Accelerometer. The project was performed without the knowledge of the patients anaesthetist, in an attempt to avoid a change in their usual clinical practice. We recorded type and dose of neuromuscular blocking agent, the timing and doses of increments, whether antagonism was given, and whether a peripheral nerve stimulator (PNS) was used (Table 1).
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