Neuromuscular Block In Italy: A Survey Of Current Management.
Della Rocca G
, Iannuccelli F
, Pompei L
, Pietropaoli P
, Reale C
, Di Marco P
Dipartimento di Scienze Anestesiologiche, Medicina Critica e Terapia del Dolore, Facoltà Medicina e Chirurgia I, Sapienza Università di Roma,Azienda Ospedaliero-Universitaria Policlinico Umberto I, Roma. Italy - email@example.com.
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BACKGROUND AND OBJECTIVE: Little is known about current use of neuromuscular blocking agents by Italian anaesthetists.This paper reports the results of a survey conducted to obtain information about current management of neuromuscular block in Italy. METHODS: A questionnaire was given to Italian Anaesthetists attending the 64nd National Congress of the Italian Society of Anaesthesia, Intensive Care, Analgesia and Intensive Therapy S.I.A.A.R.T.I. (Parma, 13-16 October 2010). Collected data were stratified by age, geographical location, and the total number of surgical procedures performed in the hospitals concerned. RESULTS: 1440 correctly compiled questionnaires were collected. 50% of respondents used clinical tests to monitor the level of neuromuscular blockade. The main clinical tests cited for the evaluation were: keeping the head lifted up for 5 seconds, protruding the tongue and opening the eyes. Train-of-four was used by 50% of respondents on a routine basis. Only 33% of anaesthetists reply that a train-of-four ratio of 90% or more is the safe level prior to extubation. CONCLUSIONS: Clinical signs are used by most of the Italian anaesthetists to assess the recovery from neuromuscular blockade. There is poor awareness about their inability to indicate even a significant degree of residual neuromuscular block. A more extensive use of quantitative instrumental monitoring is required for the more rational use of neuromuscular blocking agents.
PMID: 22374378 [PubMed - as supplied by publisher]