Case 23

Question 1

. Why is monitoring of neuromuscular blockade important whenever a neuromuscular blocking drug is administered?

Question 2

2. What are the basic principles of neuromuscular blockade monitoring?

Question 3

3. Why is a supramaximal stimulus used for neuromuscular blockade monitoring?

Question 4

4. Describe the clinically available devices used to monitor neuromuscular blockade.

Question 5

5. Describe patterns of stimulation used to monitor neuromuscular blockade and implications of evoked responses.

Question 6

6. How can you evaluate this patient who has no response to train-of-four stimulation?