PPT-Neuromuscular Blockade Agents

NMBAs A selfdirected learning module for nurses April 2017 Learning Objectives By successful completion of this selfdirected learning SDL module and achieving a passing grade of 90 on the posttest learners will have demonstrated. Journal . Club presenters: Drs. Ricky Harika, Sharanya Nama, Tom Talamo, Julie DeVore, and Andrew Gentilin. Neuromuscular Blockade and Post-Operative Respiratory Complications. EBM Statistics. Jim Ibinson. Objectives. Laparoscopic Surgery. Overview of Changes. Capnoperitoneum Physiology. CO. 2. Insufflation and Homeostasis. Role of Insufflation Pressure. Problems of High Intra-abdominal Pressure. Managing the Multifactorial Nature of Intra-abdominal Pressure. . Goals. Overview. Defining Adequate Neuromuscular Recovery. Defining Residual Blockade . Incidence of Residual Blockade. Incidence of Residual Blockade (cont). Neuromuscular Monitoring and Postoperative Residual Curarization Meta-analysis. Impact on Surgical Outcomes. Neuromuscular Blockers. Prevent acetylcholine from activating nicotinic. M. Cause muscle relaxation (paralysis). No oral forms. Cannot cross . Blood-brain barrier . No impact on CNS (paralysis, not sedation). Methods. Impact of the Introduction of . Sugammadex. Seth Fischer, . MS4. , . Neil Fleming, MD, PhD. Department of Anesthesiology and Pain Medicine, University of California at Davis School of Medicine. Done by: Ahmad Al-. Masri. Quick . Cholinergic . review . acetylcholine(. ACH. ) is neurotransmitter of the parasympathetic nervous system.. ACH. is synthesized in the . cholinergic neurons . from choline and acetyl CoA then stored in synaptic vesicles then it will be release into synaptic gap to bind post synaptic . Objectives. Define Postoperative Pulmonary Complications (PPCs). Discuss the incidence of pulmonary . c. omplications. Describe . the impact of . PPCs relative . to anesthesia . care. N. euromuscular blockade (NMB) administration considerations. onepagericu.com. @. nickmmark. Link to the most current version →. ONE. Neuromuscular blockade . can be a useful adjunct . in caring for patients with severe ARDS and . may. reduce mortality. (. or not. Neuromuscular blockade in Critical Care. Aim. . To provide guidance on the administration and monitoring of neuromuscular blockade in Critical Care. Scope. All adult patients in intensive care receiving continuous neuromuscular blockade. that bind . to . cholinoceptors. (. muscarinic. . or nicotinic) . and prevent . the effects of . acetylcholine (. ACh. ) and . other . cholinergic agonists. The most clinically. useful of these agents are selective . Consultant Anaesthetist. Sligo Regional Hospital, Ireland. Aim:. Demonstrate the relation between AAGA and the use of neuromuscular blocking (NMB) drugs.. How NMB affects patient’s experiences of intra-operative events.. October 2019. Michelle Coady. Neuromuscular Transmission . Skeletal muscle fibers are innervated by large, myelinated nerves . Nerve fibers branch out to stimulate several hundred skeletal muscle fibers. Further research can examine . patient . population not receiving neuromuscular blockade . reversal agent. Further research could look at 30 day outcomes following tracheal reintubation. Results . 52 patients required tracheal reintubation; 37 before and 15 after Sugammadex.