Chapter

Muscle relaxation in day case surgery

Jan Jakobsson

in Anaesthesia for Day Case Surgery

Published on behalf of Oxford University Press

Published in print May 2012 | ISBN: 9780199652969
Published online October 2012 | e-ISBN: 9780191742972 | DOI: http://dx.doi.org/10.1093/med/9780199652969.003.0006

Series: Oxford Anaesthesia Library

Muscle relaxation in day case surgery

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• Day case procedures in general consist of elective non-major surgerical procedures; thus, most patients are eligible for spontaneous breathing during general anaesthesia. • Intubate and use relaxants only when there is a good reason to and avoid muscle relaxants wherever possible. • Neuromuscular relaxation should be used only when considered necessary in day case anaesthesia. • The role of suxamethonium may be obvious for rapid sequence induction in the emergent situation, but its place in elective day case anaesthesia is rather limited. • When necessary use an non-depolarizing agent appropriate to the likely duration of need for relaxation and ensure good reversal. • Neuromuscular monitoring reversed before the patient awakens is strongly recommended in order to minimize the risk for residual block. • The availability of sugammadex opens up the possibility to maintain deep neuromuscular (rocuronium) block and still have a rapid and effective reversal within a short time.

Chapter.  1517 words. 

Subjects: Anaesthetics ; Clinical Pharmacology and Therapeutics

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