Journal of clinical anesthesia
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Complete reversal of neuromuscular blockade (NMB) is important for patient safety and prognosis following surgical procedures involving NMB agents (NMBAs). Published evidence on the epidemiology and consequences of residual neuromuscular blockade (rNMB; incomplete neuromuscular recovery) in real-world clinical settings is lacking with advances in NMB management. Therefore, we aimed to examine the burden of rNMB and its associated clinical, economic and humanistic outcomes using a systematic review framework. ⋯ Real-world observational studies show a significant burden of rNMB and associated health sequelae, though rNMB measures were not reported consistently across studies. Appropriate quantitative measurement is needed to accurately identify rNMB, and interventions are needed to reduce its burden and associated adverse outcomes.
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Videolaryngoscopy in children and neonates reduced intubation trauma & improved indirect glottic view, although demonstrated no other benefits.
pearl -
The aim of this study was to predict early delirium after microvascular decompression using machine learning. ⋯ Machine learning algorithms predict the occurrence of delirium after microvascular decompression with an accuracy rate of 96.7%. And the major risk factors for the development of post-cardiac delirium are carbamazepine, hgb, and BUN.