Current Anesthesiology Reports

, Volume 8, Issue 2, pp 130–133 | Cite as

Qualitative Neuromuscular Monitoring: Patterns of Stimulation, Site of Monitoring, and Accuracy in Detecting Residual Neuromuscular Blockade

  • Moumen Asbahi
  • Roy Soto
Neuromuscular Blockade (GS Murphy, Section Editor)
Part of the following topical collections:
  1. Neuromuscular Blockade


Purpose of Review

Muscle paralysis is a component of many general anesthetics, and monitoring of neuromuscular function is integral to ensuring complete and safe recovery.

Recent Findings

Recommendations for qualitative neuromuscular blockade have been well-described in the literature for decades; however practitioners frequently do not follow recommendations, resulting in patient harm from inadequate reversal of paralysis.


This review will focus on evidence-based techniques for patterns of stimulation, sites of monitoring, and accuracy in detecting residual neuromuscular blockade; furthermore, the review will also discuss barriers to implementation of best practices.


Paralysis Neuromuscular blockade Acetylcholinesterase inhibitor Neostigmine Edrophonium Glycopyrrolate Atropine Residual paralysis Postoperative residual curarization Sugammadex 


Compliance with Ethical Standards

Conflict of Interest

Moumen Asbahi and Roy Soto declare they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest have been highlighted as: • Of importance, •• Of outstanding importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of AnesthesiologyBeaumont HealthRoyal OakUSA

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