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http://dx.doi.org/10.1097/EJA.0000000000000161 | DOI Listing |
Can J Anaesth
August 2025
Department of Anesthesiology and Perioperative Medicine, Mayo Clinic College of Medicine and Science, Jacksonville, FL, USA.
Purpose: The use of a quantitative neuromuscular monitor is strongly recommended by many anesthesiology societies. While most monitors are used at the hand to record responses at the adductor pollicis muscle, this site may be unavailable. We sought to compare simultaneous quantitative neuromuscular measurements obtained at the adductor pollicis (hand) and flexor hallucis brevis (foot) muscles.
View Article and Find Full Text PDFMedicina (Kaunas)
July 2025
Department of Anesthesiology and Pain Medicine, Chosun University Hospital, Gwangju 61453, Republic of Korea.
: Obturator reflex during transurethral resection of bladder tumors (TURBT) can cause serious complications, such as bladder perforation, hemorrhage, and incomplete resection. Although obturator nerve block (ONB) is routinely recommended under spinal anesthesia, it is often omitted under general anesthesia (GA) based on the assumption that neuromuscular blockade (NMB) alone prevents adductor muscle contractions. However, clinical observations suggest that the obturator reflex may still occur under deep NMB.
View Article and Find Full Text PDFAnesth Pain Med
October 2024
Department of Surgical Intensive Care and Pain Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt.
Background: Postoperative pain management remains a challenge in laparoscopic abdominal surgeries.
Objectives: The purpose of this research was to determine the effects of deep neuromuscular blockade (NMB) in conjunction with low-pressure pneumoperitoneum )PP) on postoperative pain, surgical parameters, and recovery outcomes.
Methods: This randomized controlled double-blind study included 44 participants undergoing laparoscopic abdominal surgery.
Anesth Analg
July 2025
Orthopedics, Radboud University Medical Center, Nijmegen, the Netherlands.
Background: Deep neuromuscular blockade (NMB) enhances surgical working conditions in laparoscopic surgery. Whether this accounts for nonlaparoscopic surgery is not known. Additionally, the effect on clinical and patient-reported outcomes remains debated.
View Article and Find Full Text PDFEur J Anaesthesiol
July 2025
From the Department of Anesthesiology and Reanimation, University of Health Sciences, Konya City Hospital, Konya, Turkey (MB, YT, AM, SNY, BK), the Outcome Research Consortium, Houston, Texas, USA (YT) and Department of Anesthesiology and Reanimation, Ereğli State Hospital, Konya, Turkey (MSY).
Background: Sugammadex is an effective agent for reversing aminosteroid neuromuscular blocking agents, but its effectiveness can be influenced by interactions with steroid-based drugs. Previous studies suggest corticosteroids may affect sugammadex effectiveness, but data on methylprednisolone in paediatric patients is limited.
Objective: This study aimed to determine whether methylprednisolone administration at induction affects the reversal time of rocuronium by sugammadex.