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Uventet lang virkningsvarighed af muskelrelaksantia kan forebygges
Engelsk titel: When muscle relaxants have unexpected prolonged duration during anaesthesia Läs online Författare: Vested Madsen, Matias ; Öberg, Emilie ; Rosenberg, Jacob ; Gätke, Mona Ring Språk: Dan Antal referenser: 30 Dokumenttyp: Översikt UI-nummer: 16067446

Tidskrift

Ugeskrift for Laeger 2016;178(5)448-52 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Muscle relaxation facilitates tracheal intubation and improves surgical conditions during anaesthesia. However, unexpected prolonged muscle relaxation may occur. This article describes important causes of prolonged muscle relaxation and gives suggestions for its prevention. Drug interactions, incomplete reversal, co-morbidity, inaccurate neuromuscular monitoring and critical illness may prolong the effect of muscle relaxants. The anaesthetist must titrate the muscle relaxants using objective neuromuscular monitoring and proper reversal of the blockade when needed.