Abstract:
:Standard methods for accurate intraoperative measurement of neuromuscular block are either expensive or inconvenient and are not used widely. We have evaluated a new method of monitoring neuromuscular block using a low-frequency microphone. The method is based on the phenomenon of low-frequency sound emission by contracting skeletal muscle. Acoustic monitoring (MIC) with an air-coupled microphone was used to evaluate intraoperative neuromuscular block in 25 anaesthetized patients. The MIC recorded the response of the adductor pollicis muscle to supramaximal electrical stimulation of the ulnar nerve with train-of-four stimuli. The ratios of the first response (TI) to control (TC) were used for evaluation. Data obtained from the MIC were compared with simultaneous recordings, from the same hand, of mechanomyography (FDT), electromyography (EMG) and accelerography (ACC). Throughout the operative procedure, TI/TC ratios of the acoustic method correlated with the three reference devices: FDT, 12 patients, 262 data sets, r = 0.86, bias (%MIC-%FDT) = mean -5.3 (SD 19.6)%; EMG, 18 patients, 490 data sets, r = 0.85, bias (%MIC-%EMG) = -0.39 (20.29)%; and ACC, 13 patients, 328 data sets, r = 0.91, bias (%MIC-%ACC) = -3.0 (15.6)%. We conclude that monitoring intraoperative neuromuscular block by a microphone which transduces low-frequency muscle sounds is clinically feasible.
journal_name
Br J Anaesthjournal_title
British journal of anaesthesiaauthors
Dascalu A,Geller E,Moalem Y,Manoah M,Enav S,Rudick Zdoi
10.1093/bja/83.3.405subject
Has Abstractpub_date
1999-09-01 00:00:00pages
405-9issue
3eissn
0007-0912issn
1471-6771pii
S0007-0912(17)38333-2journal_volume
83pub_type
临床试验,杂志文章abstract::The anaesthetic and surgical problems associated with Caesarean section in eight grossly obese patients (weight 150-204 kg) are described. In addition to an increase in the frequency and severity of the complications of obesity, those weighing more than 150 kg present a panniculus which may weigh 70 kg. Extradural ana...
journal_title:British journal of anaesthesia
pub_type: 杂志文章
doi:10.1093/bja/52.9.919
更新日期:1980-09-01 00:00:00
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journal_title:British journal of anaesthesia
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journal_title:British journal of anaesthesia
pub_type: 临床试验,杂志文章
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pub_type: 杂志文章
doi:10.1093/bja/48.12.1143
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journal_title:British journal of anaesthesia
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pub_type: 临床试验,杂志文章,收录出版
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更新日期:1999-03-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1996-11-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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pub_type: 杂志文章,评审
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pub_type: 杂志文章
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pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:British journal of anaesthesia
pub_type: 杂志文章
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