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Monitoring Neuromusculaire Cours de sciences de base février 2016 Louis - Philippe Fortier
Monitoring Neuromusculaire
Cours de sciences de basefévrier 2016
Louis-Philippe Fortier
Monitoring durant l’induction
Ajustement de la stimulation supramaximaleQue mesure-t-on ?Type de stimulation ?Délai
Although the trachea is often intubated when the response to TOF stimulation disappears, postponementof this procedure for 30 to 90 seconds, depending uponthe muscle relaxant used, usually produces betterconditions.
Jørgen Viby-Mogensen
Monitoring durant l’induction
Localisation de la stimulationSaturométrie
Un autre type de moniteur neuromusculaire
Un Judas parmi nous
System overpressure !!!
Un autre type de moniteur neuromusculaire
Le bloc profond
The carina was stimulated with a soft sterile rubber suction catheterintroduced via the endotracheal tube. The total response consistedof mild responses plus severe response. A mild response was said to occur if stimulation of the carina induced only slight bucking that didnot interfere with surgery. A severe response was said to occur if stimulation elicited bucking that interfered with surgery and
required intervention. Fernando PUE, Viby-Mogensen J, Bonsu AK, et al: Relationship between post-tetanic count and response to carinal stimulation during vecuronium-induced neuromuscular blockade. Acta
Anaesthesiol Scand 31:593, 1987
Un autre type de moniteur neuromusculaire
Le bloc profond
Besoin chirurgicalPTC
Un autre type de moniteur neuromusculaire
PTCPhysiologie
Potentialisation post-tétanique
Un autre type de moniteur neuromusculaire
PTCPhysiologie
Potentialisation post-tétanique
Un autre type de moniteur neuromusculaire
PTCPhysiologie
Potentialisation post-tétanique
Also, because of possible antagonism of neuromuscular blockade in the hand, tetanicstimulation should not be given more often thanevery 6 minutes.[20] If the hand muscles undergoantagonism of neuromuscular blockade while the rest of the body is still paralyzed, the hand muscles
are no longer useful for monitoring.
Le bloc profond
Le bloc profond
Le bloc profond
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