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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

R. Appelboam1, R. Mulder1, J. Saddler1, A. F. Kopman2 and A. J. McShane3

1 Exeter, UK 2 New York, USA 3 Dublin, Eire

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Editor—We 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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Table 1 Patient characteristics. Values are absolute (n) or . . . [Full Text of this Article]

 

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