• J Clin Anesth · Mar 2003

    Case Reports

    Acceleromyography as a guide to anesthetic management: a case report.

    • Aaron F Kopman and Nidhi Sinha.
    • Department of Anesthesiology, St. Vincent's Medical Center Manhattan, New York, NY 10011, USA. akopman@rcn.com
    • J Clin Anesth. 2003 Mar 1;15(2):145-8.

    AbstractWe present a case of prolonged recovery from mivacurium. Neuromuscular monitoring using acceleromyography was extremely helpful following attempted reversal of residual block in determining when tracheal extubation could be safely performed. If a method of objective estimation of the TOF ratio had not been available, tracheal extubation would have taken place at a time when the train-of-four fade ratio was below 0.40.

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