• D R Bevan.
• Department of Anesthesia, University of Toronto, University Health Network, Toronto General Hospital, Toronto, Ontario, Canada. david.bevan@utoronto.ca
• Anesthesiol Clin North America. 2001 Dec 1;19(4):913-22.

AbstractResidual neuromuscular block is common after the use of neuromuscular blocking drugs during anesthesia. Although careful reversal [table: see text] techniques usually result in adequate return of neuromuscular recovery, sometimes it is not possible to achieve full recovery of neuromuscular block. Ventilatory support and maintenance of a patent airway are required until recovery can be demonstrated. In those situations, in which some TOF fade is still obvious, the anesthesiologist should consider retaining the endotracheal tube in position; it is not a sign of failure to return a patient whose trachea is still intubated to the postanesthesia care unit. The inadvertent extubation of patients who are partially paralyzed results in increased postoperative morbidity.

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