There are many reasons why patients may not reverse adequately from neuromuscular block.

Can you think of some of these reasons?

Click here for the answer.

There are many reasons why patients may not reverse adequately from neuromuscular block.

Can you think of some of these reasons?

  1. Think about the patient’s body temperature. Hypothermia occurs commonly, particularly after prolonged procedures. This is known to prolong the duration of action of non-depolarizing muscle relaxants (NDMRS).

Click here for the answer.

There are many reasons why patients may not reverse adequately from neuromuscular block.

Can you think of some of these reasons?

  1. Think about the patient’s body temperature. Hypothermia occurs commonly, particularly after prolonged procedures. This is known to prolong the duration of action of non-depolarizing muscle relaxants (NDMRS).
  2. Don’t rush the reversal process. If reversal agents are given prematurely, reversal may be delayed or may even fail. Wait until there is some spontaneous return of neuromuscular transmission. This is normally at least 15-20 min after the muscle relaxant was given.

Click here for the answer.

There are many reasons why patients may not reverse adequately from neuromuscular block.

Can you think of some of these reasons?

  1. Think about the patient’s body temperature. Hypothermia occurs commonly, particularly after prolonged procedures. This is known to prolong the duration of action of non-depolarizing muscle relaxants (NDMRS).
  2. Don’t rush the reversal process. If reversal agents are given prematurely, reversal may be delayed or may even fail. Wait until there is some spontaneous return of neuromuscular transmission. This is normally at least 15-20 min after the muscle relaxant was given.
  3. Many drugs prolong the action of ndmrs. These include drugs that are often given peri-operatively such as volatile agents, aminoglycoside antibiotics and magnesium.

Click here for the answer.

There are many reasons why patients may not reverse adequately from neuromuscular block.

Can you think of some of these reasons?

  1. Think about the patient’s body temperature. Hypothermia occurs commonly, particularly after prolonged procedures. This is known to prolong the duration of action of non-depolarizing muscle relaxants (NDMRS).
  2. Don’t rush the reversal process. If reversal agents are given prematurely, reversal may be delayed or may even fail. Wait until there is some spontaneous return of neuromuscular transmission. This is normally at least 15-20 min after the muscle relaxant was given.
  3. Many drugs prolong the action of ndmrs. These include drugs that are often given peri-operatively such as volatile agents, aminoglycoside antibiotics and magnesium.
  4. The speed at which humans metabolize and eliminate NMDRS varies greatly. This is one of the reasons why it is important to use a neuromuscular monitor. Rarely, patients may have inherited cholinesterase deficiencies, which cause prolongation in the action of suxamethonium and mivacurium.

Click here for the answer.

There are many reasons why patients may not reverse adequately from neuromuscular block.

Can you think of some of these reasons?

  1. Think about the patient’s body temperature. Hypothermia occurs commonly, particularly after prolonged procedures. This is known to prolong the duration of action of non-depolarizing muscle relaxants (NDMRS).
  2. Don’t rush the reversal process. If reversal agents are given prematurely, reversal may be delayed or may even fail. Wait until there is some spontaneous return of neuromuscular transmission. This is normally at least 15-20 min after the muscle relaxant was given.
  3. Many drugs prolong the action of ndmrs. These include drugs that are often given peri-operatively such as volatile agents, aminoglycoside antibiotics and magnesium.
  4. The speed at which humans metabolize and eliminate NMDRS varies greatly. This is one of the reasons why it is important to use a neuromuscular monitor. Rarely, patients may have inherited cholinesterase deficiencies, which cause prolongation in the action of suxamethonium and mivacurium.
  5. Many NDMRS rely on good kidney and liver function to facilitate breakdown and elimination. Renal and hepatic impairment may prolong their action.

Click here for the answer.

There are many reasons why patients may not reverse adequately from neuromuscular block.

Can you think of some of these reasons?

  1. Think about the patient’s body temperature. Hypothermia occurs commonly, particularly after prolonged procedures. This is known to prolong the duration of action of non-depolarizing muscle relaxants (NDMRS).
  2. Don’t rush the reversal process. If reversal agents are given prematurely, reversal may be delayed or may even fail. Wait until there is some spontaneous return of neuromuscular transmission. This is normally at least 15-20 min after the muscle relaxant was given.
  3. Many drugs prolong the action of ndmrs. These include drugs that are often given peri-operatively such as volatile agents, aminoglycoside antibiotics and magnesium.
  4. The speed at which humans metabolize and eliminate NMDRS varies greatly. This is one of the reasons why it is important to use a neuromuscular monitor. Rarely, patients may have inherited cholinesterase deficiencies, which cause prolongation in the action of suxamethonium and mivacurium.
  5. Many NDMRS rely on good kidney and liver function to facilitate breakdown and elimination. Renal and hepatic impairment may prolong their action.
  6. Various electrolyte imbalances, particularly hypokalaemia and acidosis will prolong block.