Neuromuscular blockade
- Use paralytic only with adequate sedation/analgesia
- Succinylcholine or rocuronium common for rapid intubation
- Nondepolarizers maintain surgical/ICU paralysis
- Monitor depth with train-of-four when appropriate
- Mechanical ventilation is mandatory
- Paralysis hides seizures/pain/agitation
Use at a glance
- Use paralytic only with adequate sedation/analgesia
Practical pearls
- Succinylcholine or rocuronium common for rapid intubation
- Nondepolarizers maintain surgical/ICU paralysis
Other practical pearls
- Mechanical ventilation is mandatory
- Paralysis hides seizures/pain/agitation
Monitoring / follow-up
- Monitor depth with train-of-four when appropriate
Self-check
- What must accompany a paralytic?
Adequate sedation/analgesia. - How is blockade depth monitored when appropriate?
Train-of-four.
Drugs used for this (7)
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