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One way to ensure surgical stillness is to administer deep neuromuscular blockade (DNMB). During certain procedures, such as laparoscopic or gastric bybass surgery, DNMB can improve surgical conditions.1

Watch the video and discover
how DNMB works

Adequate depth of neuromuscular
blockade can help to

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Reduce patient coughing, moving and/or bucking2

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Offer stillness during laparoscopic and/or robot-assisted procedures to reduce interference with surgical fild of view3

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Increase the intra-abdominal space for better surgical conditions during laparoscopic surgery4

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Lower the intra abnomial pressure during laparoscopic surgery5

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Muscle relaxation during surgical closure6

Viitteet:

  1. C. H. Martini, M. Boon, R. F. Bevers, L. P. Aarts and A. Dahan. Evaluation of surgical conditions during laparocopic surgery in patients with moderate vs deep neuromuscular block
  2. Werba A, Klezl M, Schramm W, et al. : The level of neuromuscular block needed to suppress diaphragmatic movement during tracheal suction in patients with raised intracranial pressure: a study with vecuronium and atracurium. Anaesthesia. 1993;48(4):301–3. 10.1111/j.1365-2044.1993.tb06947
  3. Andersen LPH, Hansen EG, Göegnut I, et al. Optimal anesthesia and analgestic regmen for robotic colorectal surgery. J Anesth Clin Res. (2014) 5:385. doi: 10.4172/2155-6148.1000385
  4. Lindekaer AL, Springborg HH, Istre O. Deep Neuromuscular Blockade Leads to a Larger Intraabdominal Volume During Laparoscopy. Journal of Visualized Experiments June 2013/76/e50045/Page 1 of 5
  5. Kim, H.M et al. Maintaining optimal surgical conditions with low isuffilation pressures in possible with deep neuromuscular blockade during laparoscopic colorectal surgery. Medicine 95, e2920 (2016)
  6. Madsen M. V., Scheppan S., Kissmeyer P., Mørk E., Rosenberg J. & Ring Gätke M. Neuromuscular blockade for improvement of surgical conditions during laparotomy: protocol for a randomised study. Danish Medical Journal. Dan Med J 62/10 October 2015