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Canadian Journal of Anesthesia 50:865 (2003)
© Canadian Anesthesiologists' Society, 2003

Correspondence

REPLY

Yuhji Saitoh, MD

Fukushima, Japan

We studied the accelerographic monitoring of neuromuscular block over the vastus medialis muscle.1 However, we were unaware of the precise innervation of the vastus medialis muscle. As suggested, in our study, small im branches of the vastas medialis nerve may have been stimulated. Further studies will be required to evaluate the appropriateness of direct muscle stimulation to monitor neuromuscular blockade in anesthetized patients. The degree of neuromuscular block assessed accelerographically over the directly stimulated muscle should be compared to that evaluated mechanically, electromyographically, or accelerographically at the thumb or the adductor pollicis muscle. We thank Dr. McKay for his constructive suggestion.

Reference

1 Saitoh Y, Nakajima H, Hattori H, Aoki K, Katayama T, Murakawa M. Neuromuscular blockade can be assessed accelerographically over the vastus medialis muscle in patients positioned prone. Can J Anesth 2003; 50: 342–7.[Abstract/Free Full Text]


Related articles in CJA:

Assessment of neuromuscular blockade at the vastus medialis
William P.S. McKay
CJA 2003 50: 864-865. [Full Text]  




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