Postoperative residual curarization

Postoperative residual curarization
Classification and external resources

Postoperative residual curarization (PORC) is a residual paresis after emergence from general anesthesia with neuromuscular-blocking drugs.^[1]^[2]

References

↑ Naguib M, Kopman AF, Ensor JE (2007). "Neuromuscular monitoring and postoperative residual curarisation: a meta-analysis". Br J Anaesth. 98 (3): 302–316. doi:10.1093/bja/ael386. PMID 17307778.
↑ Baillard C (2005). "Postoperative residual neuromuscular block: a survey of management". Br J Anaesth. 95 (5): 622–626. doi:10.1093/bja/aei240. PMID 16183681.

Kopman AF. (Mar 2009). "Observations Neuromuscular monitoring: old issues, new controversies". J Crit Care. 24 (1): 11–20. doi:10.1016/j.jcrc.2008.02.008. PMID 19272534.
Claudius C, Garvey LH, Viby-Mogensen J" Anaesthesia 2009 Mar;64(Suppl 1) 10-21. The undesirable effects of neuromuscular blocking drugs. PMID 19222427
Murphy GS. Minerva Anestesiol. 2006 Mar;72(3):97-109. Residual neuromuscular blockade: incidence, assessment, and relevance in the postoperative period. PMID 16493386
Murphy GS, Brull SJ. Anesth Analg 2010 Jul;111(1):120-8. Residual neuromuscular block: lessons unlearned. Part I: definitions, incidence, and adverse physiologic effects of residual neuromuscular block. PMID 20442260
Brull SJ, Murphy GS. Anesth Analg 2010 Jul;111(1):129-40. Residual neuromuscular block: lessons unlearned. Part II: methods to reduce the risk of residual weakness. PMID 20442261
Plaud B, Debaene B, Donati F, Marty J (Apr 2010). "Residual paralysis after emergence from anesthesia.". Anesthesiology. 112 (4): 1013–22. doi:10.1097/ALN.0b013e3181cded07. PMID 20234315.

Anesthesia (outline)

Types	General Sedation Twilight anesthesia Local Topical Intercostal nerve block Neuraxial blockade Spinal Epidural Dental Inferior alveolar nerve

Techniques	Airway management Anesthesia provision in the US Arterial catheter Bronchoscopy Capnography Dogliotti's principle Drug-induced amnesia Intraoperative neurophysiological monitoring Nerve block Penthrox inhaler Tracheal intubation

Scientific Principles	Blood–gas partition coefficient Concentration effect Fink effect Minimum alveolar concentration Second gas effect

Measurements	ASA physical status classification system Baricity Bispectral index Direct Fick method Entropy monitoring Fick principle Goldman index Guedel's classification Mallampati score Neuromuscular monitoring Thyromental distance

Instruments	Anaesthetic machine Anesthesia cart Boyle's machine Gas cylinder Laryngeal mask airway Laryngeal tube Medical monitor Odom's indicator Relative analgesia machine Vaporiser Double-lumen endotracheal tube Endobronchial blocker

Complications	Emergence delirium Allergic reactions Anesthesia awareness Local anesthetic toxicity Malignant hyperthermia Perioperative mortality Postanesthetic shivering Postoperative nausea and vomiting Postoperative residual curarization

Fields of study	Cardiothoracic Geriatric Oral sedation dentistry

Professions	Anesthesiologist Anesthesiologist assistant Nurse anesthetist Operating Department Practitioners Certified Anesthesia Technician Certified Anesthesia Technologist Anaesthetic technician

History	A.C.E. mixture Helsinki Declaration for Patient Safety in Anaesthesiology History of general anesthesia History of neuraxial anesthesia History of tracheal intubation

Organizations	American Association of Nurse Anesthetists American Society of Anesthesia Technologists & Technicians American Society of Anesthesiologists Anaesthesia Trauma and Critical Care Association of Anaesthetists of Great Britain and Ireland Association of Veterinary Anaesthetists Australian and New Zealand College of Anaesthetists Australian Society of Anaesthetists International Anesthesia Research Society

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Postoperative residual curarization

References

Further reading