Monitoring of neuromuscular transmission by electromyography during anaesthesia. A comparison with mechanomyography in cat and man

Danish Medical Bulletin

Volumn 43, Issue 4, 1996, Pages 301-316

  Engbœk, Jens ^a,b  

^a GENTOFTE UNIVERSITY HOSPITAL   (Denmark)

^b NONE   (Denmark)

Author keywords

[No Author keywords available]

Indexed keywords

ANESTHESIA; CAT; ELECTROMYOGRAM; HUMAN; NEUROMUSCULAR TRANSMISSION; PATIENT MONITORING; REVIEW;

ANESTHESIA; ANIMALS; CATS; ELECTROMYOGRAPHY; HUMANS; MONITORING, PHYSIOLOGIC; NEUROMUSCULAR JUNCTION; SYNAPTIC TRANSMISSION;

EID: 0029789792     PISSN: 09078916     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (197)

1. Adrian ED, Bronk DW. The discharge of impulses in motor nerve fibers. Part II The frequency of discharge in reflex and voluntary contractions. J Physiol 1929: 67: 19-151.
2. Alderson AM, Maclagan J. The action of decamethonium and tubocurarine on the respiratory and limp muscles of the cat. J Physiol 1964: 173: 38-56.
3. Ali HH, Kitz RJ. Evaluation of recovery from non-depolarizing neuromuscular block, using a digital neuromuscular transmission analyzer: preliminary report. Anaesth Analg 1973: 52: 740-745
4. Ali HH, Savarese JJ. Monitoring of neuromuscular function. Anesthesiology 1976: 45: 216-249.
5. Ali HH, Utting JE, Gray TC. Quantitative assessment of residual antidepolarizing block (part I) Br J Anaesth 197la: 43: 473-476.
6. Ali HH, Utting JE, Gray TC. Quantitative assessment of residual antidepolarizmg block (part II) Br J Anaesth 1971b: 43: 478-485.
7. Ali HH, Wilson RS, Savarese JJ, Kitz RJ. The effect of d-tubocurarine on indirectly elicited train-of-four muscle response and respiratory measurements in humans. Br J Anaesth 1975: 47: 570-574.
8. Altman DG, Bland JM. Measurement in medicine: the analysis of method comparison studies. The Statistician 1983: 32: 307-317
9. Astley BA, Katz RL, Payne JP. Electrical and mechanical responses after neuromuscular blockade with vecuronium, and subsequent antagonism with neostigmine or edrophonium. Br J Anaesth 1987: 59: 983-988.
10. Barrantes FJ. Muscle endplate cholinereceptors. Pharmacol Therapeutics 1988: 38: 331-385.
11. Bernard MC 3° action du curare de la nicotine sur le système musculaire. Compte Rendu des Séances de la Société de Biologie 1850: 2: 195-196
12. Bigland B, Zaimis E. Factors influencing limp temperature during experiments on skeletal muscle. J Physiol 1958: 141: 420-424.
13. Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurements. Lancet 1986: 8: 307-310.
14. Borenstein S, Desmcdt JE. Local cooling in myasthenia. Improvement of neuromuscular failure. Arch Neurol 1975: 32: 152-157.
15. Botelho SY, Deaterly CF, Austin S, Comroe JH. Evaluation of the clectromyogram of patients with myasthenia gravis. AMA Arch Neurol Psychiatr. 1952: 67: 441-450.
16. Bowman WC. Neuromuscular blocking agents. In: Lawrence DR and Bacharach AL (Eds.). Evaluation of drug activities: Pharmacometrics. London, New York, Academic press 1964: 1: 325-351.
17. Bowman WC. Neuromuscular blocking agents. In: Pharmacology of neuromuscular function. 2nd ed. Wright, 1990: 134-231
18. Bowman WC, Marshal IG, Gibb AJ. Feedback control of transmitter release at the neuromuscular junction. Trends in Pharmacological Sciences 1988: 9: 16-20.
19. Brand JB, Cullen DJ, Wilson NE, Ali HH Spontaneous recovery from non-depolarizing neuromuscular blockade: Correlation between clinical and evoked responses. Anesth Analg 1977: 56: 55-58.
20. Brown GL, von Euler US. The after effect of a tetanus on mammalian muscle. J Physiol 1938: 93: 39-60.
21. Buchthal F. The functional organization of the motor unit. Am J Phys Med 1957: 38: 125-128
22. Buchthal F, Enghæk L. Refractory period and conduction velocity of the striated muscle fibre. Acta Physiol Scand 1963: 59: 199-220.
23. Buchthal F, Rosenfalck P. Action potential parameters in different human muscles Acta Psychiat Neurol Scand 1955: 30: 125-131.
24. Buchthal F, Guld C, Rosenfalck P. The origin of the motor unit potential. Acta Physiol Scand 1954a: 31 suppl 114: 7-8.
25. Buchthal F, Guld C, Rosenfalck P. Propagation velocity in electrically activated muscle fibers in man. Acta Physiol Scand 1955: 34: 75-89.
26. Buchthal F, Guld C, Rosenfalck P. Volume conduction of the spike of the motor unit potential investigated with a new type of multielectrode. Acta Physiol Scand 1957a: 38: 331-354.
27. Buchthal F, Guld C, Rosenfalck P. Multielectrode study of the territory of a motor unit. Acta Physiol Scand 1957b: 39: 83-104.
28. Buchthal F, Pinelli P, Rosenfalck P. Action potential parameters in normal human muscle and their physiological determinants. Acta Physiol Scand 1954b: 32: 219-229.
29. Buller AJ, Ranatunga KM, Smith K. Influence of temperature on the isometric myograms of cross-innervated mammalian fast twitch and slow twitch skeletal muscles. Nature (Lond) 1968: 218: 877-878.
30. Burbank DP, Webster JG. Reducing skin potential artefact by skin abrasion. Med Biol Eng 1978: 16: 31-38.
31. Buzello W, Pollmaecher T. Schleuermann D, Urbanyi B. The influence on hypothermic pulmonary bypass on neuromuscular transmission in the absence of muscle relaxants. Anesthesiology 1986: 64: 279-291.
32. Carpendale MTF. Conduction time in the terminal portion of the motor fiber of the ulnar median and peroneal nerves in healthy subjects and in patients with neuropathy. Thesis, University of Minnesota Graduate School, 1956.
33. Carter JA, Arnold R, Yate PM, Flynn PJ. Assessment of the Datex relaxograph during anaesthesia and atracurium-induced neuromuscular blockade. Br J Anaesth 1986: 58: 1447-1452.
34. Cass NM, Lampard DG, Brown WA, Coles JR. Computer controlled muscle relaxation: a com- parison of four relaxants in the sheep. Anaesth Intens Care 1976: 4: 16-22.
35. Casson WR, Jones RM, Shelly AM, Robinson PD, Adams AP. Reversal of profound atracurium induced paralysis. Anticholinesterases compared using train-of-four stimulation Anesthetist 1986: 41: 382-385.
36. Castillo J del, Katz B. On the localization of acetylcholine receptors. J Physiol 1955: 128: 157-181.
37. Chauvin M, Lebrault C, Duvaldestin P. The neuromuscular blocking effect of vecuronium on the human diaphragm. Anesth Analg 1987: 66: 117-122.
38. Churchill-Davidson HC, Christie TH. The diagnosis of neuromuscular block in man Br J Anaesth 1959: 31: 290-301.
39. Churchill-Davidson HC, Richardson AT. Decamethonium iodide (C10): some observation on its action using electromyography. Proc Roy Soc Med 1951: 45: 179-186.
40. Clark J, Plonsey R The extracellular potential field of a single active nerve fiber in a volume conductor. Biophys J 1968: 8: 842-864
41. Close R, Hoh JFY. Influence of temperature on isometric contractions of rat skeletal muscles. Nature 1968: 217: 1179-1180.
42. Dale HH, Feldberg W. Chemical transmission at motor nerve endings in voluntary muscle. J Physiol 1934: 81: 39-42.
43. Dam WH, Guldmann N. Inadequate postanesthetic ventilation. Anesthesiology 1961: 22: 699-707.
44. Day NS, Blake GJ, Standaert FG, Dretchen KL. Characterization of the train-of-four response in fast and slow muscles: effect of d-tubocurarine, pancuronium and vecuronium. Anesthesiology 1983: 58: 414-417.
45. Desmedt JE, Hainaut K. Kinetics of myofilament activation in potentiated contraction: staircase phenomenon in human skeletal muscle. Nature 1968: 217: 529-532.
46. Donati F, Bevan DR. Muscle electromechanical correlations during succi- nylcholine infusion. Anesth Analg 1984: 63: 891-894.
47. Donati F, Antzaka C, Bevan DR. Potency of pancuronium at the diaphragm and the adductor pollicis muscle in humans. Anesthesiology 1986: 65: 1-5.
48. Donati F. Meistelman C, Plaud B. Vecuronium neuromuscular blockade at the diaphragma, the orbicularis oculi and the adductor pollicis muscles. Anesthesiology 1990: 73: 870-875.
49. Donlon JV, Savarese JJ, Ali HH. Cumulative dose-response curves for gallamine: Effect of altered resting thumb tension and mode of stimulation. Anesth Analg 1979: 58: 377-381.
50. Donlon JV, Savarese JJ, AH HH, Teplik RS. Human dose-response curves for neuromuscular blocking drugs: A comparison of two methods of construction and analysis. Anesthesiology 1980: 53: 161-166.
51. Drenck NE, Ueda N, Olsen NV, Engbæk J. Jensen E, Skovgaard LT, Viby-Mogensen J. Manual evaluation of residual curarization using double burst stimulation: a comparison with train-of-four. Anesthesiology 1989: 70: 578-581.
52. Du Bois-Reymond E. Untersuchungen ueber thierische elektricitaet. Vol II, second part. Berlin, Rei- mer, Verslag von G., 1849.
53. Dupuis JY, Martin R, Tetrault JP. Clinical, electrical and mechanical correlations during recovery from neuromuscular blockade with vecuronium. Can J Anaesth 1990: 37: 192-196.
54. Durant NN, Houwertjes MC, Crul JF. Comparison of the neuromuscular properties of ORG 45 and pancuronium in the rat, cat and rhesus monkey Br J Anaesth 1980: 52: 723-730.
55. Durant NN, Marshall IG, Savage DS, Nelson DJ, Sleigh T, Carlyle IC. The neuromuscular and autonomic blocking activities of pancuronium, Org 45, and other pancuronium analogues, in the cat. J Pharm Pharmacol 1979: 31: 831-836.
56. Emmot RS, Goldhill DR. Flynn PJ. A comparison of electromyographic and mechanomyographic responses in anaesthetized man during evoked recovery following doxacurium. 4th international neuromuscular meeting, Montreal 1992.
57. Endo M. Calcium release from the sarcoplasmic reticulum. Physiological reviews 1977: 57: 71-108.
58. Engbœk J, Roed J. Differential effect of pancuronium at the adductor pollicis, the first dorsal interosseous and the hypothenar muscles. An electromyographic and mechanomyographic dose-response study. Acta Anaesthesiol Scand. 1992: 36: 664-669.
59. Engbæk J. Roed J, Hangaard N, Viby-Mogensen J. The agreement between adductor pollicis mechanomyogram and first dorsal mterosseous electromyogram. A pharmacodynamic study of rocuronium and vecuronium. Acta Anaesthesiol Scand 1994: 38: 869-878.
60. Engbæk J, Skovgaard LT, Friis B, Kann T, Viby-Mogensen J Monitoring of neuromuscular transmission by electromyography (1). Stability and temperature dependence of evoked EMG response compared to mechanical twitch recording in the cat Acta Anaesthesiol Scand 1992: 36: 495-504.
61. Engbæk J, Skovgaard LT, Friis B, Kann T, Viby-Mogensen J Monitoring of neuromuscular transmission by electromyography (II). Evoked compound EMG area, amplitude and duration compared to the mechanical twitch during onset and recovery of pancuronium induced blockade in the cat. Acta Anaesthesiol Scand 1993: 37: 788-798.
62. Engbæk J, Østergaard D, Viby-Mogensen J. Double burst stimulation (DBS)-a new pattern of nerve stimulation to identify residual neuromuscular block. Br J Anaesth 1989a: 62: 274-278.
63. Engbæk J, Østergaard D, Viby-Mogensen J, Skovgaard LT. Clinical recovery and train-of-four ratio measured mechanically and electromyographically following atracurium. Anaesthesiology 1989b: 71: 391-395
64. Epstein RA, Epstein RM. The electromyogram and the mechanical respons of indirectly stimulated muscle in anesthetized man following curarization. Anesthesiology 1973: 38: 212-223
65. Epstein RA, Jackson RH. Repetitive muscle depolarization from single indirect stimulation in anaesthetized man. J Appl Physiol 1970: 28: 407-410.
66. Epstein RA, Wyte SR, Jackson SH, Sitter S. The electromechanical response to stimulation by the block-aid monitor. Anesthesiology 1969: 30: 43-47.
67. Eriksson LI, Lennmarken C, Jensen E, Viby-Mogensen J. Twitch tension and train-of-four ratio during prolonged neuromuscular monitoring at different peripheral temperatures. Acta Anaesthesiol Scand. 1991: 35: 247-252.
68. Falck B, Lang II. Effects of temperature on motor unit potentials. Muscle & Nerve 1986: 9: 573.
69. Fatt P, Katz B. An analysis of the end-plate potential recorded with an intracellular electrode. J Physiol 1951: 115: 320-370.
70. Fisher DM, Miller RD. Neuromuscular effects of vecuronium (Org NC45) in infants and children during N2O, halothane anesthesia, Anesthesiology 1983: 58: 519-523.
71. Foldes FF The influence of temperature on neuromuscular performance. J Neural Transmission 1978: 43: 27-45
72. Freund FG. Merati JK. A source of errors in assessing neuromuscular blockkade. Anesthesiology 1973: 39: 540-542.
73. Gal TJ, Goldberg SK. Relationship between respiratory rnuscle strength and vital capacity during partial curarization in awake subjects. Anesthesiology 1981: 54: 141-147.
74. Galvani L. De Viribus Electrocitatis In Motu Musculari Commentarius. Proc Bologna Academy and Institute of Sciences and Arts 1791: 7: 363. Transl. into English by Green RM. Elisabeth Licht Publ., Cambridge Mass. 1953: P97.
75. Gassel MM. Sources of error in motor nerve conduction studies. Neurology 1964: 14: 825-835.
76. Gasser HS, Erlanger J. A study of the action currents of the nerve with the cathode ray oscillograph. Am J Physiol 1922: 62: 496-524.
77. Gath I. Stålberg E. On the volume conduction in human skeletal muscle: In situ measurements Electroenceph Clin Neurophysiol 1977: 43: 106-110.
78. Geddes LA. Baker LE. The specific resistance of biological material - a compendium of data for the biomedical engineer and physiologist. Med biol Engng 1967: 5: 271-293.
79. Gramstad LE. Atracurium and vecuronium: Comparative responses and interactions with other agents. Clinical and experimental studies. Thesis. Department of Anaesthesia, Rikshospitalet University of Oslo, Oslo 1989.
80. Griffith HR, Johnson GE. The use of curare in general anaesthesia. Anesthesiology 1942: 3: 418-420.
81. Grob D, Johns RJ, Harvey AM. Studies in neuromuscular function. I. Introduction and methods. Bull John Hopkins Hosp 1956: 99: 115-124.
82. Gruber CM. Studies in fatique. The staircaise phenomenon in mammalian skeletal muscle. Am J Physiol 1923: 63: 338-349.
83. Harper NJN. Comparison of the adductor pollicis and the first dorsal interosseous muscles during atracurium and vecuronium blockade: an electromyographic study. Br J Anaesth 1988: 61: 477-478.
84. Harper NJN, Bradshaw EG, Healey TEJ. Evoked electromyographic and mechanical responses of the adductor pollicis compared during the onset of neuromuscular blockade by atracurium or alcuronium, and during antagonism by neostigmine. Br J Anaesth 1986: 58: 1275-1284.
85. Harris JB, Leach DH. The effect of temperature on end-plate depolarization of the rat diaphragm produced by suxatnethonium and acetylcholine. J Pharm Pharmac 1968: 20: 194-198.
86. Harvey AM. The action of quinine on skeletal muscle. J Physiol 1939: 95: 45-57.
87. Harvey AM, Masland RL. A method for the study of neuromuscular transmission in human subjects. Bull Johns Hopk Hosp 1941: 68: 81-93.
88. Heier T, Caldwell JE, Sessler DI, Kitts JB, Miller RD. The relationship between adductor pollicis twitch tension and core, skin, and muscle temperature during nitrous oxide-isoflurane anesthesia in humans. Anesthesiology 1989: 71: 381-384.
89. Hermann L. Uber den Aktionsstrom der Muskelen im Menschen. Pflügers Arch ges Physiol 1878: 16: 410-420.
90. Hodes R, Larrabee MG, German W. The human electromyogram in response to nerve stimulation and the conduction velocity of motor axons. Arch Neurol & Psychiat 1948: 60: 340-365.
91. Hofmann WW, Parsons RL, Feigen GA. Effects of temperature and drugs on mammalian motor nerve terminals Am J Physiol 1966: 211: 135-140.
92. Hopf HC, Maurer K. Temperature dependence of the electrical and mechanical responses of the adductor pollicis muscle in humans. Muscle & Nerve 1990: 13: 259-262.
93. Hubbard JI, Jones SF, Landau EM. The effect of temperature change upon transmitter release, facilitation and post-tetanic potentiation. J Physiol 1971: 216: 591-609.
94. Hughes R, Chapple DJ. The pharmacology of altacurium: a new competitive neuromuscular blocking agent. Br J Anaesth 1981: 53: 31-44.
95. Hutton P, Burchett KR, Madden AP. Comparison of recovery after neuromuscular blockade by atracurium or pancuronium. Br J Anaesth 1988: 60: 36-42.
96. Huxley AF, Taylor RE. Local activation of striated muscle fibres. J Physiol 1958: 144: 426-441.
97. Illingwonh JA. Muscle biochemistry. Br J Anaesth 1980: 52: 123-138.
98. Ibebunjo C, Hall LW. Muscle fibre diameter and sensitivity to neuromuscular blocking drugs. Br J Anaesth 1993: 71: 732-733.
99. Isono S, Ide T, Kochi T, Mizuguchi T, Nishmo T. Effect of partial paralysis on the swallowing reflex in conscious humans. Anesthesiology 1991: 75: 980-984.
100. Jensen E, Viby-Mogensen J, Bang U. The Accelerograph: a new neuromuscular transmission monitor Acta Anaesthesiol Scand 1988: 32: 49-52.
101. Jensen E, Larsen SW, Sztuk F, Viby-Mogensen J. The TOF-Guard, a new neuromuscular transmission analyzer. Anesthesiology 1993: 79: A963.
102. Jewell PA, Zaimis EJ. A differentiation between red and white muscle in the cat based on responses to neuromuscular blocking agents. J Physiol 1954: 124: 417-428.
103. Johansen SH, Jørgensen M, Molbech S. Effect of tubocuranne on respiratory and nonrespiratory muscle power in man. J Appl Physiol 1964: 19: 990-994.
104. Johnson MA, Polgar J, Weightman D, Appelton D. Data on the distribution of fibre types in thirty-six human muscles. An autopsy study. J Neuol Sci 1973: 18: 111-129.
105. Jones RM, Pearce AC, Williams JP. Recovery characteristics following antagonism of atracurium with neostigmine or edrophonium. Br J Anaesth 1984: 56: 453-457.
106. deJong RH, Freund FG. Relation between electromyogram and isometric twitch tension in human muscle. Arch Phys Med Rehab 1967: 48: 539-542.
107. Kalli I. Effect of surface electrode positioning on the compound action potential evoked by ulnar nerve stimulation during isoflurane anaesthesia. Br J Anaesth 1990: 65: 494-499.
108. Karis JP, Burton LW, Karis KH. A quantitative neuromuscular blockade monitor. Anesth Analg 1980: 59: 308-310.
109. Katz B, Miledi R. The effect of temperature on the synaptic delay at the neuromuscular junction. J Physiol 1965: 181: 656-670.
110. Katz RL. Comparison of electrical and mechanical recording of spontaneous and evoked muscle activity. The clinical value of continuous recording as an aid to the rational use of muscle retaxants during anesthesia, Anesthesiology 1965: 26: 204-211.
111. Katz RL. Electromyographic and mechanical effects of suxamethonium and tubocurarine on twitch,tetanic and post-tetanic responses. Br J Anaesth 1973: 45: 849-859.
112. Katz RL, Eakins KE. The effect of succmyicholine, decamelhonium, hexacarbacholine, gallamine and dimethyl tubocurarine on the twitch and tonic neuromuscular system of the cat. J Pharmacol Experiment Therap 1966: 154: 303-309.
113. Kharkevich DA, Fisenko VP. The effect of neuromuscular blocking agents on the acetvlcholine receptors of different skeletal muscles. Arch Int Pharmacodyn Ther 1981: 251: 255-269.
114. Khuenl-Brady K. Castagnoli KP, Cantell PC, Caldwell JE, Agoston S, Miller RD. The neuromuscular blocking effect and pharmacokinetics of ORG 9426 and ORG 9616 in the cat. Anesthesiology 1990: 72: 669-674.
115. Kopman AF. The relationship of evoked electromyographic and mechanical responses following atracurium in humans. Anesthesiology 1985: 63: 208-211.
116. Kopman AF. The dose-effect relationship of metocurine: The integrated electromyogram of the first dorsal interosseous muscle and the mechanomyogram of the adductor pollicis compared. Anesthesiology 1988a: 68: 604-607.
117. Kopman AF. The effect of resting muscle tension on the dose-effect relationship of d-tubocurarine: does preload influence the evoked EMG. Anesthesiology 1988b: 69: 1003-1005.
118. Kosek PS, Sears DH, Rubinstein EH. Minimizing movement-induced changes in twitch response during integrated electromyography Anesthesiology 1988: 69: 142-143.
119. Krarup C. Electrical and mechanical responses in the platysma and in the adductor poliicis muscle: in normal subjects. J Neurol Neurosurg Psychiat 1977: 40: 234-240.
120. Krarup C. Enhancement and diminution of mechanical tension evoked by staircase and by tetanus in rat muscle. J Physiol 1981Electroencephalograma: 311: 355-372.
121. Krarup C. Temperature dependence of enhancement and diminution of twitch tension evoked by staircase and by tetanus in rat muscle J Physiol 1981b: 311: 373-387.
122. Krarup C. Evoked responses in normal and diseased muscle with particular reference to twitch potentiation. Acta Neurol Scand. 1983: 68: 269-315.
123. Lam HS, Morgan DL, Lampard DG. Derivation of reliable electromyograms and their relation to tension in mammalian muscles during synchronous stimulation. EIectroencephal Clin Neurophysiol 1979: 46: 72-80.
124. Lam HS, Cass NM. Ng KC. Electromyographic monitoring of neuromuscular block. Br J Anaesth 1981: 53: 1351-1356.
125. Lang AH, Puusa A. Dual influence of temperature on compound nerve action potential. J Neurol Sci 1981: 51: 81-88.
126. Langley JN. On the contraction of muscle, chiefly in the relation to the presence of 'receptive' substances. Part 1. J Physiol 1907: 36: 347-384.
127. Laycock JRD, Baxter MK, Bevan JC, Sangwan S, Donate F, Bevan DR. The potency of pancuronium at the adductor pollicis and diaphragm in infants and children. Anesthesiology 1988: 68: 908-911.
128. Lebrault C, Chauvin M, Guirimand F, Duvaldestin P. Relative potency of vecuronium on the diaphragm and the adductor pollicis Br J Anaesth 1989: 63: 389-392.
129. Lee C, Katz RL, Lee ASJ, Glaser B. A new instrument for continuous recording of the evoked compound electromyogram in the clinical setting. Anaesth Analg 1977: 56: 260-270.
130. Liddell EGT, Sherrington CS. Further observations on myostatic reflexes. Proc roy Soc B. 1925: 97: 267-283.
131. Lindström L. Contributions to the interpretation of myoelectnc power spectra. Calmar University of Technology, Göteborg, Sweden 1974.
132. Lindström LH, Magnusson RI. Interpretation of myoelecrtic power spectra: a model and its application. Proc IEEE 1977: 65: 653-662.
133. Loofbourrow GN. Electrographic evaluation of mechanical response in mammalian skeletal muscle in different conditions. J Neurophysiol 1948: 11: 153-167.
134. Lowitzsch K, Hopf HC, Galland J. Changes of sensory conduction velocity and refractory periods with decreasing tissue temperature in man. J Neurol 1977: 216: 181-188.
135. Lundin HP, Beyeler F. Temperature dependence of normal sensory nerve action potentials. J Neurol 1977: 216: 173-180.
136. Lynn PA, Bettles ND, Hughes AD, Johnson SW. Influence of electrode geometry on bipolar recordings of the surface electromyogram. Med Biol Eng Comput 1978: 16: 651-660.
137. Maclagan J, Zaimis E. The effect of muscle temperature on twitch and tetanus in the cat. J Physiol 1957: 137: 89-90P.
138. Marshall IG. The effect of three short-acting neuromuscular blocking agents on fast-and slow-contracting muscles of the cat. Eur J Pharmacol 1973: 21: 299-304.
139. Matteucci C. Sur un phénomène physiologique produit par les muscles en contraction. Ann Chimie Physique 1842: 6: 339-343.
140. Matthews BHC. A special purpose amplifier. J Phystol (Lond) 1934: 81: P28-29.
141. McGill KC, Cummins KL, Dorfman LJ, Berlizot BB, Luetkemeyer K, Nishimura DG, Widfow B. On the nature and elimination of stimulus artefact in nerve signals evoked and recorded using surface electrodes. IEEE Trans Biomed Eng 1982: 29: 129-137.
142. Meretoja OA, Brown TCK. Drift of the evoked thenar EMG-signal. Anesthesiology 1989: 71: A825.
143. Miller RD. How should residual neuromuscular block be detected. Anesthesiology 1989: 70: 379-380.
144. Mortier E, Moulaert P, deSomer A, Rolly G. Comparison of evoked electromyography and mechanical activity during vecuroniurn-induced neuromuscular blockade. Eur J Anaesth. 1988: 5: 131-141.
145. Muir AW, Houston J, Green KL, Marshall RJ, Bowman WC, Marshall IG. Effect of a new neuromuscular blocking agent (ORG9426) in anaesthetized cats and pigs and in isolated nerve-muscle preparations. Br J Anaesth 1989: 63: 400-410.
146. Nishizono H, Saito Y, Miyashita M. The estimation of conduction velocity in human skeletal muscle in situ with surface electrodes. Electrocnceph Clin Neurophysiol 1979: 46: 659-664.
147. Paloheimo M, Rantala B. Central enhancement of integrated electromyographic response to supramaximal nerve stimulation. Abstract of the World Congress of Anaesthesiologists, Manila 1984.
148. Pathak D, Sokoll MD, Barcellos W, Kumar V. A comparison of the response of hand and facial muscles to non-depolarizing relaxants. Anaesthesia 1988: 43: 747-748.
149. Paton WD, Waud DR. The margin of safety of neuromuscular transmission. J Physiol 1967: 191: 59-90.
150. Paton WDM, Zaimis EJ. The action of d-tubocurarine and of decamethonium on respiratory and olher muscles in the cat. J Physiol 1951: 112: 311-331.
151. Pavlin EG, Holle RH. Schoene RB. Recovery of airway protection compared with ventilation in humans after paralysis with curare. Anesthesiology 1989: 70: 381-385.
152. Pennes HH. Analysis of tissue and arterial blood temperatures in the resting human forearm. J Appl Physiol 1948: 1: 93-122.
153. Person RS. Problems in the interpretation of electromyograms. I. Comparing of electromyograms on recording with skin and needle electrodes. Biofizika 1963: 8: 89-97.
154. Petersen J, Kugelberg E. Duration and form of action potential in the normal human muscle J Neurol Neurosurg Psychiat 1949: 12: 124-128.
155. Plonsey R. Volume conductor fields of action currents. Biophys J 1964: 4: 317-328.
156. Poulsen H, Hougs W. The effect of some curarizing drugs in unanaesthetized man I. d-tubocurarine chloride, gallamonium iodide, decamethonium iodide, succinylcholine iodide and its bis-monoethyl-substituted derivative in single or repeated doses. Acta Anaesthesiol Scand 1957: 1: 15-39.
157. Power SJ, Jones RM. Reversal of profound paralysis: use of large doses of edrophonium to antagonize vecuronium and pancuronium induced neuromuscular blockade. Acta Anaesthsiol Scand 1989: 33: 478-481.
158. Proebster R. Über Muskelaktionsströme am Gesunden und Kranken Menschen Zeit fur Orthopadische Chirurgie 1928: 50(suppl 2): 1-154.
159. Pugh ND, Kay B, Healey TEJ. Electromyography in anaesthesia. A comparison between two methods. Anaesthesia 1984: 399: 574-577.
160. Pugh ND, Harper NJN, Healey TEJ, Petts HV. Effects of atracurium and vecuronium on the latency and duration of the negative deflection of the evoked compound action potential of the adductor pollicis. Br J Anaesth 1987: 59: 195-199.
161. Ricker K, Hertel G, Stodieck IG. Increased voltage of the muscle action potential of normal subjects after local cooling. J Neurol 1977: 216: 33-38.
162. Ritchie G, Ebert JP, Jannett TC, Kissin I, Sheppard LC. A microcomputer based controller for neuromuscular block during surgery. Ann Biomedical Engineering 1985: 13: 3-15.
163. Saddler JM, Marks LF, Norman J. Comparison of atracurium-induced neuromuscular block in rectus abdominis and hand muscles of man. Br J Anaesth 1992: 69: 26-28.
164. Secher NH, Rube N, Secher O. Effect of tubocurarine on human soleus and gastrocnemius muscles Acta Anaesthesiol Scand 1982: 26: 231-234.
165. Sessler DI, Olofsson CI, Rubinstein EH, Bcebe JJ. The thermoregulatory threshold in humans during halothane anesthesia. Anesthesiology 1988: 68: 836-842.
166. Shanks CA. Dose-response curves for alcuronium and pancuronium alone and in combination. Anaeslh Intens Care 1982: 10: 248-251.
167. Shanks CA, Jarvis JE. Electromyographic and mechanical twitch responses following suxamethonium administration. Anaesth Intens Care 1980: 8: 341-344.
168. Shanks CA, Walker JS, Ramzan MI, Triggs EJ. Dose-response curves for four neuromuscular blockers using continuous i.v. infusion. Br J Anaesth 1981: 53: 627-633.
169. Sharpe MD, Lam AM, Nicholas JF, Chung DC, Merchant R, Alyafi W, Beauchamp R. Correlation between integrated evoked EMG and respiratory function following atracurium administration in unanaesthetized humans. Can J Anaesth 1990: 37: 307-312.
170. Sharpe MD, Moote CA, Lam AM, Manninen PH. Comparison of integrated evoked EMC between the hypothenar and facial muscle groups following atracurium and vecuronium administration. Can J Anaesth 1991: 38: 318-323.
171. Shemer LB, Beal SL. Some suggestions for measuring predictive performance. J Pharmacokin Biopharm 1981: 9: 503-512.
172. Slomic A, Rosenfalck A, Buchtal F. Electrical and mechanical responses of normal and myasthenic muscle. Brain Research 1968: 10: 1-78.
173. Smith CE, Donati F, Bevan DR. Differential effects of pancuronium on masseter and adductor pollicis muscles in man. Anesthesiology 1989: 71: 57-61.
174. Smith DC, Booth JV. Influence of temperature and forearm position on evoked electromyography in the hand. Br J Anaesth 1994: 72: 407-410.
175. Smith DC. Central enhancement of evoked electromyographic monitoring of neuromuscular function. Br J Anaesth 1991: 66: 562-565.
176. Smith DC, Tan S. Follet DH. Effects of skin temperature on skin-electrode impedance: measurements at high direct current density. J Med Enginee Tech 1992: 16: 210-213.
177. Sopher MJ, Sears DH, Walts LF. Neuromuscular function monitoring comparing the flexor hallucis brevis and adductor pollicis muscle. Anesthesiology 1988: 69: 129-131.
178. Stance A, Stanec G. The adductor pollicis monitor-apparatus and method for the quantitative measurement of the isometric contraction of the adductor pollicis muscle. Anesthesia 1983: 62: 602-605.
179. Stålberg E. Propagation velocity in human muscle fibers in situ. Acta Physiol Scand 1966: 70(suppl): 1-112.
180. Tarn H, Webster JG. Minimizing electrode motion artifact by skin abrasion. IEEE Trans BME 1977: 24: 134-139.
181. Thomas PK, Sears TA, Gilhatt RW. The range of conduction velocity in normal motor nerve fibres to the small muscles of the hand and the foot. J Neurol Neurosurg Psychiat. 1959: 22: 175-181.
182. Tullock WC. Evoked electromyogram baseline changes without a decrease in thenar temperature J Clin Monit 1991: 7: 133.
183. Turner GA, Williams JD, Baker DJ. Train-of-four fade during onset and recovery of neuromuscular block: a study in non-anaesthetized subjects Br J Anaesth 1989: 62: 279-286
184. Unna KR. Pelikan EW, MacFarlane DW, Cazort RJ, Sadove MS, Nelson JT. Evaluation of curarizing agents in man. JAMA 1950: 144: 448-451.
185. Viby-Mogensen J. Clinical assessment of neuromuscular transmission. Br J Anaesth 1982: 54: 209-223.
186. Viby-Mogensen J. Clinical measurement of neuromuscular function: An update. Clinics in Anaesthesiology 1985: 3: 467-482
187. Viby-Mogensen J, Kann T, Fries B. Micro-train-of-four (my-TOF): a new neuromuscular transmission analyzer. Proceedings of the 7th World Congress of Anaesthesiologists, Hamburg 1980. Amsterdam: Excerpta Medica.
188. Viby-Mogensen J, Jensen E, Werner M, Nielsen HK. Measurement of acceleration: a new method of monitoring neuromuscular function. Acla Anaesthesiol Scand 1988: 32: 45-48.
189. Viby-Mogensen J, Jensen NH, Engbaek J, Ørding H, Skovgaard LT, Chræmmer-Jørgensen B. Tactile and visual evaluation of the response to train-of-four nerve stimulation. Anesthesiology 1985: 63: 440-443.
190. Vigreaux B, Cnockaert JC, Pertuzon E. Factors influencing quantified surface EMGs. Eur J Appl Physiol 1979: 41: 119-129.
191. Weber S, Muravchick S. Electrical and mechanical train-of-four responses during depolarizing and non-depolarizing neuromuscular blockade. Aneslh Analg 1986: 65: 771-776.
192. Wee AS, Ashley RA. Effect of thumb position on thenar compound muscle action potential field. Electromyogr clin Neurophysiol 1988a: 28: 163-166.
193. Wee AS, Ashley RA. Where is the ideal reference site for recording the thenar compound muscle action potential. Electromyogr clin Neurophysiol 1988b: 28: 249-252.
194. Westgard JO, Hunt MR. Use and interpretation of common statistical tests in method-comparison studies. Clin Chem 1973: 19: 49-57.
195. Williams NE, Webb SN, Calvey TN. Differential effects of myoneural blocking drugs on neuromuscular transmission. Br J Anaesth 1980: 52: 1111-1114.
196. Zorap JSM, Bettles ND, Lynn PA A computerized neuromuscular blockade monitor with visual-display unit: a preliminary report. Eur J Anaesth 1984: 1: 85-92.
197. Zipp P Effect of electrode parameters on the bandwidth of the surface EMG power density spectrum. Med Biol Comput 1978: 116: 537-541.