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Comparative use of muscle relaxants and their reversal in three European countries: a survey in France, Germany and Great Britain
Osmer, Christian; Vögele, Claus; Zickmann, Bernfried et al.
1996In European Journal of Anaesthesiology, 13, p. 389-399
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Abstract :
[en] A survey was conducted among British, French and German anaesthetists to evaluate possible national differences in the peri-operative use of muscle relaxants and their reversal agents. The same non-depolarizing relaxants are used in all three countries, with the exception of d-tubocurarine, which is only available in Great Britain, and alcuronium which is mainly used in Germany. The French anaesthetists seem to use significantly less succinylcholine than their peers in Great Britain or Germany for both elective and emergency intubation. Monitoring of neuromuscular blockade still relies mainly on "clinical judgement'. Reversal of non-depolarizing muscle relaxants is performed routinely in Great Britain, while a substantial number of French anaesthetists avoid the use of a reversal. Dose regimes for neostigmine vary largely, with German anaesthetists administering the lowest, and British anaesthetists administering the highest doses. Side effects of reversal agents are reported by colleagues from all three countries in too high a percentage to justify uncritical administration of these drugs. In Germany there seems to be a noteworthy lack of recovery facilities.
Disciplines :
Neurosciences & behavior
Psychiatry
Treatment & clinical psychology
Animal psychology, ethology & psychobiology
Theoretical & cognitive psychology
Identifiers :
UNILU:UL-ARTICLE-2012-796
Author, co-author :
Osmer, Christian
Vögele, Claus ;  University of Luxembourg > Faculty of Language and Literature, Humanities, Arts and Education (FLSHASE) > Integrative Research Unit: Social and Individual Development (INSIDE)
Zickmann, Bernfried
Hempelmann, Gunther
Language :
English
Title :
Comparative use of muscle relaxants and their reversal in three European countries: a survey in France, Germany and Great Britain
Publication date :
1996
Journal title :
European Journal of Anaesthesiology
ISSN :
0265-0215
eISSN :
1365-2346
Publisher :
Cambridge University Press, Cambridge, United Kingdom
Volume :
13
Pages :
389-399
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBilu :
since 08 August 2013

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