European journal of anaesthesiology
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Observational Study
Residual neuromuscular block in type II diabetes mellitus after rocuronium: A prospective observational study.
Diabetes mellitus causes motor nerve dysfunction and degeneration that may alter the response to neuromuscular blocking drugs. ⋯ Diabetic patients, even in the absence of complications, have an increased risk of RNMB after rocuronium administration compared with those without diabetes. Poorer glycaemic control of diabetes does not appear to increase the risk. Appropriate dose and vigilant monitoring of the neuromuscular blocker is helpful in patients with T2DM.
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Comparative Study Clinical Trial
Performance of acceleromyography with a short and light TOF-tube compared with mechanomyography: A clinical comparison.
Disturbances in the thumb's movement interfere with the functioning of acceleromyography in many clinical settings. The short and light (SL) train-of-four (TOF)-Tube is a new version of a rigid tubular device that was designed to protect the thumb from external disturbances during surgery, even when the hand is not accessible by the anaesthesiologist. ⋯ Compared with mechanomyography, acceleromyography performed with the aid of an SL TOF-Tube offered acceptable precision and equivalent performance during neuromuscular block recovery.
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Randomized Controlled Trial
Deep neuromuscular block improves surgical conditions during laparoscopic hysterectomy: A randomised controlled trial.
The benefit of inducing deep neuromuscular block to improve laparoscopic surgical conditions is controversial. ⋯ Inducing deep neuromuscular block (train-of-four count <1) significantly improved surgical field scores and made it possible to completely prevent unacceptable surgical conditions.