Interdisciplinary intraoperative communication and collaboration needed for optimal neuromuscular blockade management

Welliver, Mark D.; Jones, William H.

Publication

Interdisciplinary intraoperative communication and collaboration needed for optimal neuromuscular blockade management

Welliver, Mark D.; Jones, William H.

Publisher

Medknow Publications

Date

2014-01-07

Abstract

We would like to thank Dr. Lamberg and Dr. Answine for their case report, � A surgeon's assessment of inadequate neuromuscular antagonism in a case of prolonged neuromuscular block. April-June 2013 29(2):244-247.�[1] In this case an additional 10 mg dose of neuromuscular blocking agent (NMBA) was given 75 min after an intubation dose of rocuronium at the request of a surgeon based on �feel� of the surgical site during a hemicolectomy on an 82-year-old 74 kg woman. Although it is unusual that this patient's neuromuscular blocking (NMB) lasted as long as it did (5.5 h), the preceding scenario is typical. We have all experienced the surgeon's statements of: �The patient is getting tight,� �I need more relaxation� and request of �can you give more muscle relaxant?�