Post-tetanic count at adductor pollicis is a better indicator of early diaphragmatic recovery than train-of-four count at corrugator supercilii

British Journal of Anaesthesia

Volumn 99, Issue 3, 2007, Pages 376-379

  Dhonneur, Gilles ^a,b   Kirov, K ^a   Motamed, C ^a   Amathieu, R ^a,b   Kamoun, W ^a   Slavov, V ^b   Ndoko, S K ^a  

^a HÔPITAL JEAN VERDIER   (France)

^b UNIVERSITÉ PARIS 13   (France)

Author keywords

Adductor pollicis; Monitoring, neuro muscular function; Muscle skeletal, diaphragm; Neuromuscular block, vecuronium

Indexed keywords

FENTANYL; PROPOFOL; VECURONIUM;

ADDUCTOR POLLICIS MUSCLE; ADULT; AGED; ANESTHESIA INDUCTION; ANESTHESIA LEVEL; ANESTHETIC RECOVERY; ARTICLE; CLINICAL ARTICLE; CORRUGATOR SUPERCILII MUSCLE; DIAPHRAGM; ELECTROMYOGRAM; FACE MUSCLE; FACIAL NERVE; FEMALE; HAND MUSCLE; HUMAN; MALE; MUSCLE TETANIC CONTRACTION; NERVE STIMULATION; NEUROMUSCULAR BLOCKING; NEUROTRANSMISSION; PHRENIC NERVE; PRIORITY JOURNAL; STATISTICAL SIGNIFICANCE; THUMB; ULNAR NERVE;

EID: 34548440326     PISSN: 00070912     EISSN: 14716771     Source Type: Journal    
DOI: 10.1093/bja/aem124     Document Type: Article

References (10)

1. Dhonneur G, Slavov V, Merle JC, et al. Comparison of the effects of mivacurium on the diaphragm and geniohyoid muscles. Br J Anaesth 1996; 77: 716-9
2. Dhonneur G, Kirov K, Slavov V, Duvaldestin P. Effects of an intubating dose of succinylcholine and rocuronium on the larynx and diaphragm: An electromyographic study in humans. Anesthesiology 1999; 90: 951-5
3. Kirov K, Motamed C, Dhonneur G. Differential sensitivity of abdominal muscles and the diaphragm to mivacurium: An electromyographic study. Anesthesiology 2001; 95: 1323-8
4. Viby-Mogensen J, Howardy-Hansen P, Chraemmer-Jorgensen B, et al. Posttetanic count (PTC): A new method of evaluating an intense non-depolarizing neuromuscular blockade. Anesthesiology 1991; 55: 458-61
5. El-Orbany MI, Joseph NJ, Ramez Salem M. The relationship of posttetanic count and train-of-four responses during recovery from intense cis-atracurium-induced neuromuscular blockade. Anesth Analg 2003; 97: 80-4
6. Plaud B, Debaene B, Donati F. The corrugator supercilii, not the orbicularis occuli reflects rocuronium neuromuscular blockade at the laryngeal adductor muscles. Anesthesiology 2001; 95: 96-101
7. Puura AI, Rorarius MG, Laippala P, Baer GA. Does monitoring of posttetanic count prevent alarms of airway pressure or visible muscle activity during intratracheal jet ventilation? A prospective study with five different neuromuscular blocking agents. J Clin Monit Comput 2000; 16: 523-8
8. Kirov K, Motamed C, Combes X, Duvaldestin P, Dhonneur G. Sensitivity to atracurium in the lateral abdominal muscles. Ann Fr Anesth Reanim 2000; 19: 734-8
9. Fernando PU, Viby-Morgensen J, Bonsu AK, Tamilarasan A, Muchhal KK, Lambourne A. Relationship between posttetanic count and response to carinal stimulation during vecuronium-induced neuromuscular blockade. Acta Anaesthesiol Scand 1987; 31: 593-6
10. Rimaniol JM, Dhonneur G, Sperry L, Duvaldestin P. A comparison of the neuromuscular blocking effects of atracurium, mivacurium, and vecuronium on the adductor pollicis and the orbicularis occulis muscle in humans. Anesth Analg 1996; 83: 808-13