Residual Neuromuscular Block Remains a Safety Concern for Perioperative Healthcare Professionals: A Comprehensive Review

Residual neuromuscular block (RNMB) remains a significant safety concern for patients throughout the perioperative period and is still widely under-recognized by perioperative healthcare professionals. Current literature suggests an association between RNMB and an increased risk of postoperative pul...

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Bibliographic Details
Published in:Journal of clinical medicine 2024-02, Vol.13 (3), p.861
Main Authors: Blum, Franziska Elisabeth, Locke, Andrew R, Nathan, Naveen, Katz, Jeffrey, Bissing, David, Minhaj, Mohammed, Greenberg, Steven B
Format: Article
Language:English
Subjects:
Airway management
Beliefs, opinions and attitudes
Complications and side effects
Electromyography
Intubation
Medical personnel
Medical research
Medical societies
Medicine, Experimental
Neuromuscular blocking agents
Patient outcomes
Patient satisfaction
Perioperative care
Pharmacokinetics
Practice guidelines (Medicine)
Respiration
Succinylcholine
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Summary:Residual neuromuscular block (RNMB) remains a significant safety concern for patients throughout the perioperative period and is still widely under-recognized by perioperative healthcare professionals. Current literature suggests an association between RNMB and an increased risk of postoperative pulmonary complications, a prolonged length of stay in the post anesthesia care unit (PACU), and decreased patient satisfaction. The 2023 American Society of Anesthesiologists Practice Guidelines for Monitoring and Antagonism of Neuromuscular Blockade provide guidance for the use of quantitative neuromuscular monitoring coupled with neuromuscular reversal to recognize and reduce the incidence of RNMB. Using sugammadex for the reversal of neuromuscular block as well as quantitative neuromuscular monitoring to quantify the degree of neuromuscular block may significantly reduce the risk of RNMB among patients undergoing general anesthesia. Studies are forthcoming to investigate how using neuromuscular blocking agent reversal with quantitative monitoring of the neuromuscular block may further improve perioperative patient safety.
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm13030861