Reports, Volume 9, Issue 3
2026 September - 123 articles
Cover Story: Neuromuscular monitoring is widely used during general anesthesia to assess the effects of neuromuscular blocking agents and guide their safe administration. In a patient with advanced anti-myelin-associated glycoprotein (MAG) antibody neuropathy, however, neither electromyography nor acceleromyography provided measurable quantitative neuromuscular responses before administration of any neuromuscular blocking agent. Faced with an inability to reliably detect residual or prolonged blockade, general anesthesia for robot-assisted surgery was successfully managed without neuromuscular blocking agents. This case highlights the importance of establishing baseline neuromuscular responses before administering these agents and of adapting anesthetic management when conventional monitoring falls silent. View this paper
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Reports - ISSN 2571-841X