Journal of Clinical Anesthesia
Volume 22, Issue 5 , Pages 318-323 , August 2010

Acceleromyographic monitoring of neuromuscular block over the orbicularis oris muscle in anesthetized patients receiving vecuronium

  • Yuhji Saitoh, MD (Director)

      Affiliations

    • Department of Anesthesiology, Tsujinaka Hospital Kashiwanoha, Chiba 277-0871, Japan
    • Corresponding Author InformationCorresponding author. Tel.: +81 4 7137 3737; fax: +81 4 7137 3738.
  • ,
  • Tsutomu Oshima, MD (Sub Director)

      Affiliations

    • Division of Anesthesia, The Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo 135-8550, Japan
  • ,
  • Yoshinori Nakata, MD (Professor)

      Affiliations

    • Department of Anesthesia and Critical Care, Teikyo University School of Medicine, Tokyo 173-8605, Japan

Received 27 October 2008 ,Revised 9 August 2009 ,Accepted 16 September 2009.

References 

  1. Hemmerling TM, Donati F, Beaulieu P, Babin D. Phonomyography of the corrugator supercilii muscle: signal characteristics, best recording site and comparison with acceleromyography. Br J Anaesth. 2002;88:389–393
  2. Plaud B, Debaene B, Donati F. The corrugator supercilii, not the orbicularis oculi, reflects rocuronium neuromuscular blockade at the laryngeal adductor muscles. Anesthesiology. 2001;95:96–101
  3. Hemmerling TM, Donati F. Neuromuscular blockade at the larynx, the diaphragm and the corrugator supercilii muscle: a review. Can J Anaesth. 2003;50:779–794
  4. Larsen PB, Gätke MR, Fredensborg BB, Berg H, Engbæk J, Viby-Mogensen J. Acceleromyography of the orbicularis oculi muscle. II: comparing the orbicularis oculi and adductor pollicis muscles. Acta Anaesthesiol Scand. 2002;46:1131–1136
  5. Gätke MR, Larsen PB, Engbaek J, Fredensborg BB, Berg H, Viby-Mogensen J. Acceleromyography of the orbicularis oculi muscle. I: significance of the electrode position. Acta Anaesthesiol Scand. 2002;46:1124–1130
  6. Hemmerling TM, Schmidt J, Hanusa C, Wolf T, Schmitt H. Simultaneous determination of neuromuscular block at the larynx, diaphragm, adductor pollicis, orbicularis oculi and corrugator supercilii muscles. Br J Anaesth. 2000;85:856–860
  7. Browner WS, Newman TB, Cummings SR, Hulley SB. Estimating sample size and power: the nitty-gritty. In:  Hulley SB editors. Designing Clinical Research. 2nd ed. Philadelphia: Lippincott Williams & Wilkins Inc.; 2001;p. 65–91
  8. Kopman AF, Lawson D. Milliamperage requirements for supramaximal stimulation of the ulnar nerve with surface electrodes. Anesthesiology. 1984;61:83–85
  9. Saitoh Y, Nakazawa K, Toyooka H, Amaha K. Optimal stimulating current for train-of-four stimulation in conscious subjects. Can J Anaesth. 1995;42:992–995
  10. Saitoh Y, Nakajima H, Hattori H, Aoki K, Katayama T, Murakawa M. Neuromuscular blockade can be assessed acceleromyographically over the vastus medialis muscle in patients positioned prone. Can J Anaesth. 2003;50:342–347
  11. Saitoh Y, Toyooka H, Amaha K. Recoveries of post-tetanic twitch and train-of-four responses after administration of vecuronium with different inhalation anaesthetics and neuroleptanaesthesia. Br J Anaesth. 1993;70:402–404
  12. Ibebunjo C, Hall LW. Muscle fibre diameter and sensitivity to neuromuscular blocking drugs. Br J Anaesth. 1993;71:732–733
  13. Schwarting S, Schröder M, Stennert E, Goebel HH. Enzyme histochemical and histographic data on normal human facial muscles. J Otorhinolaryngol Relat Spec. 1982;44:51–59
  14. Xue FS, Liao X, Liu JH, et al. Dose-response curve and time-course of effect of vecuronium in male and female patients. Br J Anaesth. 1998;80:720–724
  15. Semple P, Hope DA, Clyburn P, Rodbert A. Relative potency of vecuronium in male and female patients in Britain and Australia. Br J Anaesth. 1994;72:190–194
  16. Xue FS, Tong SY, Liao X, Liu JH, An G, Luo LK. Dose-response and time course of effect of rocuronium in male and female anesthetized patients. Anesth Analg. 1997;85:667–671
  17. Baykara N, Sahin T, Alpar R, Solak M, Toker K. Evaluation of intense neuromuscular blockade caused by rocuronium using posttetanic count in male and female patients. J Clin Anesth. 2003;15:446–450
  18. Fuchs-Buder T, Claudius C, Skovgaard LT, Eriksson LI, Mirakhur RK, Viby-Mogensen J. 8th International Neuromuscular Meeting. Good clinical research practice in pharmacodynamic studies of neuromuscular blocking agents. II: the Stockholm revision. Acta Anaesthesiol Scand. 2007;51:789–808
  19. Debaene B, Beaussier M, Meistelman C, Donati F, Lienhart A. Monitoring the onset of neuromuscular block at the orbicularis oculi can predict good intubating conditions during atracurium-induced neuromuscular block. Anesth Analg. 1995;80:360–363
  20. Brull S, Silverman DG. Pulse width, stimulus intensity, electrode placement, and polarity during assessment of neuromuscular block. Anesthesiology. 1995;83:802–809
  21. Viby-Mogensen J, Jensen E, Werner M, Nielsen HK. Measurement of acceleration: a new method of monitoring neuromuscular function. Acta Anaesthesiol Scand. 1988;32:45–48
  22. Eriksson LI, Lennmarken C, Jensen E, Viby-Mogensen J. Twitch tension and train-of-four ratio during prolonged neuromuscular monitoring at different peripheral temperatures. Acta Anaesthesiol Scand. 1991;35:247–252

PII: S0952-8180(10)00138-8

doi: 10.1016/j.jclinane.2009.09.004

Journal of Clinical Anesthesia
Volume 22, Issue 5 , Pages 318-323 , August 2010