Why the study?
To address various societal guidelines, standards, and consensus statements regarding optimal neuromuscular blockade management, and discuss the historical evolution to identify possible future trends.
This review highlights the global variability in neuromuscular blockade monitoring guidelines and underscores the need for national anesthesia societies to mandate quantitative monitoring to prevent residual neuromuscular blockade.
Supports quantitative neuromuscular monitoring adoption in practice; extends prior surveys by identifying persistent guideline gaps worldwide.
Purpose of Review This review addresses various societal guidelines, standards, and consensus statements regarding optimal neuromuscular blockade management. We discuss the historical evolution of neuromuscular management as a means of identifying possible future trends. Recent Findings While a recent international panel of experts has called for abandoning clinical assessment and subjective evaluation using a peripheral nerve stimulator in favor of adopting quantitative monitoring, few anesthesia societies mandate similar practices at the moment. Summary The current status of neuromuscular monitoring in the world is still variable and unsatisfactory. Nevertheless, a positive trend can be observed in the anesthesia community to adopt and learn this neglected technique. The development of user-friendly monitoring devices should also help this process, but anesthesia national societies still need to do a lot to replace outdated and substandard practices.
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Nemes et al. (2020) conducted a review in Neuromuscular blockade management. Neuromuscular monitoring guidelines was evaluated. The current status of neuromuscular monitoring worldwide is variable, with a positive trend toward adopting quantitative monitoring, though many national societies still need to update guidelines.
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