| Description |
1 online resource (xiii, 209 pages) : illustrations |
| Contents |
1. Principles of neuromuscular transmission -- Physiological principles -- Anatomical principles -- Action potential -- Acetylcholine -- Postsynaptic nicotinic acetylcholine receptors -- Presynaptic nicotinic acetylcholine receptors -- Striated muscles -- Pharmacological principles -- Non-depolarizing neuromuscularblocking agents -- Depolarizing neuromuscularblocking agents -- Cholinesterase inhibitors -- Selective relaxant binding agents drugs -- 2. Principles of neuromuscular monitoring -- Nerve stimulation -- Stimulation electrodes -- Stimulation site/test muscle -- Ulnar nerve/adductor pollicis muscle -- Posterior tibial nerve/flexor hallucis brevis muscle -- Facial nerve/orbicularis occuli muscleor facial nerve/corrugator supercilii muscle -- Anesthesia-relevant muscle groups -- Diaphragm -- Laryngeal muscles -- Abdominal muscles -- Extrinsic muscles of the tongue and floor of mouth -- Pharyngeal muscles -- Pharyngeal muscles -- Single twitch -- Train-of-four -- Double-burst stimulation -- Tetanic stimulation -- Post-tetanic count -- Assessment of stimulatory response -- Simple nerve stimulators -- Quantitative nerve stimulators |
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3. Clinical application -- Neuromuscular monitoring during anesthesia induction -- Neuromuscular blocking agents for anesthesia induction? -- Testmuscles and stimulation patterns -- What level of neuromuscular block for intubation? -- Intraoperative application of neuromuscular monitoring -- Accumulation of NMBAs -- Stimulation patterns and test muscles -- Monitoring neuromuscular recovery -- Pathophysiological implications of residual neuromuscular blockade -- Frequency of residual neuromuscular blockade -- Clinical implications associated with residual neuromuscular blockade -- Stimulation patterns and test muscle -- Prevention strategies for residual neuromuscular blockade -- 4. Acceleromyography -- Principles -- The Accelograph and the TOF-Guard -- TOF-Watch models -- The TOF ratio algorithm -- Calibration modes -- Nerve localization in regional anesthesia procedures -- TOF-Watch -- Short set-up instructions -- Brief overview -- Scheme of buttons and display symbols -- TOF-Watch SX -- Short set-up instructions -- Brief overview -- Scheme of buttons and display symbols -- Scheme of buttons and display symbols -- FAQS -- Can acceleromyography also be used in infants? -- Is neuromuscular monitoring painful for patients? -- What to observe when attaching TOF-Watch nerve stimulators? -- Is calibration really necessary? -- Can neuromuscular monitoring with the TOF-Watch nerve stimulator prevent residual blockade? -- Acceleromyography in research -- Neuromuscular monitoring for scientific purposes: What should anesthesiologists generally look out for? -- Particulars of performing acceleromyography -- Guidelines for measuring onset and time profile of neuromuscular blockade -- Concluding remarks |
| Summary |
Neuromuscular monitoring is critical for the judicious use of muscle relaxants. In combination with reversal, it is fundamental to every successful strategy for managing postoperative residual blocks. This reference work is a compendium of all the essential information needed to monitor neuromuscular function. Physiological and pharmacological basics of neuromuscular transmission, principles of neuromuscular monitoring: How to place stimulation electrodes, properly select the stimulation mode and interprete findings, practical techniques for clinical routine, clinical concepts behind qualitative and quantitative nerve stimulators, comprehensive presentation of acceleromyography including a question & answer section, summaries of all key points, current guidelines on the scientific use of acceleromyography |
| Analysis |
geneeskunde |
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medicine |
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volksgezondheid |
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public health |
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anesthesie |
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anaesthesia |
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Medicine (General) |
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Geneeskunde (algemeen) |
| Bibliography |
Includes bibliographical references and index |
| Notes |
Print version record |
| Subject |
Neurophysiologic monitoring.
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Monitoring, Physiologic -- methods
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Neuromuscular Junction -- drug effects
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Atracurium -- adverse effects
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Neuromuscular Blockade -- adverse effects
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Paralysis -- prevention & control
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Postoperative Complications -- prevention & control
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MEDICAL -- Surgery -- Neurosurgery.
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Médecine.
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Neurophysiologic monitoring
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| Form |
Electronic book
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| ISBN |
9783642134777 |
|
3642134777 |
|
3642134769 |
|
9783642134760 |
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