Acta anaesthesiologica Belgica
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Acta Anaesthesiol Belg · Jan 2002
Randomized Controlled Trial Clinical TrialTOF-tube, a new protection for acceleromyography, compared with the TOF-Guard/TOF-Watch arm board.
Neuromuscular blockade monitoring at the adductor pollicis has become easier using acceleromyography. In order to guarantee a reliable analysis of its acceleration, the thumb movement has to be free and protected from external influences. To this end, we describe here-in two hand fixation- and protection-devices for use with acceleromyography. ⋯ Yet, a short and clinically irrelevant delay was observed for TOF-tube data during recovery. This was probably caused by a difference in thumb position and repositioning technique. In conclusion, the more convenient TOF-tube can be used as well as the TOF-Guard/TOF-Watch arm board in daily clinical practice.
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Desflurane use is associated with carbon monoxide production and sympathetic activation. These side effects can be eliminated taking into account certain recommendations such as closing fresh gas flow at the end of anaesthesia, regular replacement of carbon dioxide absorbents and the use of new absorbents for carbon monoxide production and opioid administration with slow increases of inspiration concentrations during desflurane initiation for sympathetic activation.
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Acta Anaesthesiol Belg · Jan 2002
Randomized Controlled Trial Clinical TrialTarget controlled infusion of rocuronium: selection of a pharmacokinetic model.