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末梢運動神經 電氣刺戟의 痲醉科學的 應用

Clinical Experience With a Peripheral Nerve Stimulator(Blooclc-Aid Monitor)

전남의대잡지 1968년 5권 1호 p.131 ~ 134
최병조,
소속 상세정보
최병조 (  ) - 전남대학교 의과대학 마취과학교실

Abstract


The determination of dose, response, and duration of action of muscle relaxants is usually based on such subjective factors as respiratory effects, “feel of the bag” the opinion of the surgeon or anesthesiologist, and past experience. While these guides may be useful, the best way to determine the degree of neuromuscular block is by stimulating a motor nerve with an electric current and observing the contractions of the muscles innervated by that nerve.
The author has used Block-Aid Monitor, a perhiper l nerve stimulatoravailable from the Burroughs Wellcome & Co., U.S.A. in 50 general anesthesias and its routine clinical use has been found of, significant value in determining; (1) the magnitude of the neuromuscular block; (2) the need for antagonists of the muscle relaxants; (3) the nature of the neuromuscular block, i. e, depolarizing or nondepolarizing; and (4) the role of the muscle relaxants in causing immediate postoperative hypoventilation or apnea.
The Author has also reported four representative cases which verify the above statement and their clinical implications have been discusssed.

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