Vecuronium neuromuscular blockade at the cricothyroid and posterior cricoarytenoid muscles of the larynx and at the adductor pollicis muscle in humans

1994 ◽  
Vol 6 (1) ◽  
pp. 14-17 ◽  
Author(s):  
Hiroshi Iwasaki ◽  
Motohiko Igarashi ◽  
Keiichi Omote ◽  
Akiyoshi Namiki
Keyword(s):  
Neuromuscular Blockade ◽  
Adductor Pollicis ◽  
Adductor Pollicis Muscle ◽  
Posterior Cricoarytenoid

scholarly journals Comparison between the trapezius and adductor pollicis muscles as an acceleromyography monitoring site for moderate neuromuscular blockade during lumbar surgery

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Seok Kyeong Oh ◽  
Sangwoo Park ◽  
Byung Gun Lim ◽  
Young Sung Kim ◽  
Heezoo Kim ◽  
...  
Keyword(s):  
Neuromuscular Blockade ◽  
Muscle Tone ◽  
Trapezius Muscle ◽  
Adductor Pollicis ◽  
The Body ◽  
Monitoring Site ◽  
Lumbar Surgery ◽  
Adductor Pollicis Muscle ◽  
Group A ◽  
Surgical Conditions

AbstractAcceleromyography at the adductor pollicis located in a distal part of the body may not reflect the degree of neuromuscular blockade (NMB) at the proximally located muscles manipulated during lumbar surgery. We investigated the usefulness and characteristics of acceleromyographic monitoring at the trapezius for providing moderate NMB during lumbar surgery. Fifty patients were randomized to maintain a train-of-four count 1–3 using acceleromyography at the adductor pollicis (group A; n = 25) or the trapezius (group T; n = 25). Total rocuronium dose administered intraoperatively [mean ± SD, 106.4 ± 31.3 vs. 74.1 ± 17.6 mg; P < 0.001] and surgical satisfaction (median [IQR], 7 [5–8] vs. 5 [4–5]; P < 0.001) were significantly higher in group T than group A. Lumbar retractor pressure (88.9 ± 12.0 vs. 98.0 ± 7.8 mmHg; P = 0.003) and lumbar muscle tone in group T were significantly lower than group A. Time to maximum block with an intubating dose was significantly shorter in group T than group A (44 [37–54] vs. 60 [55–65] sec; P < 0.001). Other outcomes were comparable. Acceleromyography at the trapezius muscle during lumbar surgery required a higher rocuronium dose for moderate NMB than the adductor pollicis muscle, thereby the consequent deeper NMB provided better surgical conditions. Trapezius as proximal muscle may better reflect surgical conditions of spine muscle.

scholarly journals Comparison between the trapezius and adductor pollicis muscles as an acceleromyography monitoring site for moderate neuromuscular blockade during lumbar surgery

2021 ◽  
Author(s):  
Seok Kyeong Oh ◽  
Sangwoo Park ◽  
Byung Gun Lim ◽  
Young Sung Kim ◽  
Heezoo Kim ◽  
...  
Keyword(s):  
Neuromuscular Blockade ◽  
Muscle Tone ◽  
Trapezius Muscle ◽  
Adductor Pollicis ◽  
The Body ◽  
Monitoring Site ◽  
Lumbar Surgery ◽  
Adductor Pollicis Muscle ◽  
Group A ◽  
Surgical Conditions

Abstract Acceleromyography at the adductor pollicis located in a distal part of the body may not reflect the degree of neuromuscular blockade (NMB) at the proximally located muscles manipulated during lumbar surgery. We investigated the usefulness and characteristics of acceleromyographic monitoring at the trapezius for providing moderate NMB during lumbar surgery. Fifty patients were randomized to maintain a train-of-four count 1–3 using acceleromyography at the adductor pollicis (group A; n = 25) or the trapezius (group T; n = 25). Total rocuronium dose administered intraoperatively [mean ± SD, 106.4 ± 31.3 vs. 74.1 ± 17.6 mg; P < 0.001] and surgical satisfaction (median [IQR], 7 [5–8] vs. 5 [4–5]; P < 0.001) were significantly higher in group T than group A. Lumbar retractor pressure (88.9 ± 12.0 vs. 98.0 ± 7.8 mmHg; P = 0.003) and lumbar muscle tone in group T were significantly lower than group A. Time to maximum block with an intubating dose was significantly shorter in group T than group A (44 [37–54] vs. 60 [55–65] sec; P < 0.001). Other outcomes were comparable. Acceleromyography at the trapezius muscle during lumbar surgery required a higher rocuronium dose for moderate NMB than the adductor pollicis muscle, thereby providing better surgical conditions. Trapezius as proximal muscle better reflects surgical conditions of spine muscle.

Slower fatigue and faster recovery of the adductor pollicis muscle in women matched for strength with men

1999 ◽  
Vol 167 (3) ◽  
pp. 233-239 ◽  
Author(s):  
Fulco ◽  
Rock ◽  
Muza ◽  
Lammi ◽  
Cymerman ◽  
...  
Keyword(s):  
Adductor Pollicis ◽  
Adductor Pollicis Muscle

scholarly journals ADDUCTOR POLLICIS MUSCLE THICKNESS AND PREDICTION OF POSTOPERATIVE MORTALITY IN PATIENTS WITH STOMACH CANCER

2018 ◽  
Vol 31 (1) ◽  
Author(s):  
Aline Kirjner POZIOMYCK ◽  
Oly Campos CORLETA ◽  
Leandro Totti CAVAZZOLA ◽  
Antonio Carlos WESTON ◽  
Edson Braga LAMEU ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Stomach Cancer ◽  
Nutritional Assessment ◽  
Postoperative Mortality ◽  
Muscle Thickness ◽  
Adductor Pollicis ◽  
Dominant Hand ◽  
Adductor Pollicis Muscle ◽  
Risk Of Death ◽  
Muscle Compartment

ABSTRACT Background: Malnutrition is very prevalent in patients with gastric cancer and increases the risk of morbidity and mortality. Adductor pollicis muscle thickness (APMT) appears as an important objective, quick, inexpensive and noninvasive measure to assess the muscle compartment Aim: To compare APMT and other nutritional assessment methods and to correlate these methods with postoperative mortality Methods: Forty-four patients, 29 men and 15 women, mean age of 63±10.2 and ranging from 34-83 years, who underwent nine (20.5%) partial and 34 (77.3%) total gastrectomies due to stomach cancer (stage II to IIIa) were preoperatively assessed by Patient Generated Subjective Global Assessment (PG-SGA), anthropometry and laboratorial profile Results: APMT better predicted death (p<0.001) on both, dominant and non-dominant hand, and well correlated with albumin (p=0.039) and PG-SGA (p=0.007) Conclusion: APMT clearly allowed to determine malnutrition and to predict risk of death in patients with gastric cancer.

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