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- W2022050610 abstract "In Brief Postoperative residual paralysis is an important complication of the use of neuromuscular blocking drugs. In this prospective study, the incidence of residual paralysis detected as a train-of-four response <90% was less frequent in surgical outpatients (38%) than inpatients (47%) (P = 0.001). This might have been the result of the more frequent use of mivacurium for outpatients. Before undertaking tracheal extubation, the anesthesiologists had applied clinical criteria (outpatients, 49%; inpatients, 45%), pharmacological reversal (26%, 25%), neuromuscular transmission monitoring (12%, 11%), or a combination of these. None of these measures seemed to reduce the incidence of residual paralysis except for quantitative train-of-four monitoring. Postoperatively, eight individual clinical tests or a sum of these tests were also unable to predict residual paralysis by train-of-four. Although the incidence of residual paralysis was less frequent in surgical outpatients, predictive criteria were not evident. IMPLICATIONS: When administering neuromuscular blocking drugs, anesthesiologists in this study used clinical tests or pharmacological reversal, but seldom neuromuscular transmission monitoring, before endotracheal extubation. In more inpatients than outpatients, residual paralysis was detected postoperatively. Eight clinical tests were unreliable in predicting neuromuscular recovery status." @default.
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- W2022050610 date "2006-02-01" @default.
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- W2022050610 title "Postoperative Residual Paralysis in Outpatients Versus Inpatients" @default.
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- W2022050610 doi "https://doi.org/10.1213/01.ane.0000195543.61123.1f" @default.
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