JOURNAL HOME CME HOME THIS MONTH PAST ISSUES ETOC COLLECTIONS AUTHORS REVIEWERS EDITORIAL BOARD FEEDBACK RSS HELP
		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a colleague Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by LEE, C. Articles by KATZ, R. L. Search for Related Content PubMed PubMed Citation Articles by LEE, C. Articles by KATZ, R. L.

Fade of Neurally Evoked Compound Electromyogram During Neuromuscular Block by d-Tubocurarine

CHINGMUH LEE, MD^*, and RONALD L. KATZ, MD

*Associate Professor, Department of Anesthesiology (UCLA), Harbor General Hospital Campus, Torrance, California Professor and Chairman, Department of Anesthesiology, UCLA School of Medicine, Los Angeles, California 90024.

Abstract

Trains of neurally evoked compound electro-myographic responses of the thenar muscles were studied in 20 patients anesthetized with enflurane and N₂O and paralyzed with d-tubocurarine. Fade was correlated with stimulus frequency (0.1 to 50 Hz) and degree of neuromuscular block. The lowest response in a train occurred on the 4th and the 6th-to-8th responses when the train was elicited at 2 Hz and 50 Hz, respectively. Fade was more observable with deeper block and could best be demonstrated by 5 Hz stimuli. With 50 Hz stimuli, a concomitant facilitation, observable from the beginning of the train, partially compensated for the fade.

Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999