Clinical Updates on Anesthesia and Perioperative Medicine
A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Anesthesiology".
Deadline for manuscript submissions: 20 July 2026 | Viewed by 4
Special Issue Editors
Interests: neuroanesthesia and neurocritical care; perioperative neuromuscular management; sepsis
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Special Issue Information
Dear Colleagues,
Up to 50% of perioperative harm is preventable. Residual neuromuscular block (rNMB) and postoperative pulmonary complications (PPCs) remain critical risks. Despite evidence, quantitative neuromuscular monitoring is not used universally—only 10% of ICU handoffs include neuromuscular function status, and the incidence of residual neuromuscular block remains between 10-40%. To improve patient care and safeguard safety, validated quality indicators (QIs) must be embedded in national frameworks, safety audits, and international standards like the Helsinki Declaration.
However, clinician skepticism, inconsistent guidelines, lack of standardization and unwillingness to enforce best-practice recommendations, and clinician resistance to change remain key barriers.
Previous recommendations included: mandating the use of quantitative neuromuscular monitoring and integrating it into standard monitors; designating departmental leads (local champions) and using checklists; performing pragmatic trials to demonstrate cost and safety benefits of routine quantitative monitoring; and targeting residents in training and young clinicians’ educational programs in order to shift long-term attitudes and change practice.
In this series of articles, an attempt will be made to fill gaps in our current evidence base regarding the salutary effects of adherence to national and international guidelines for quantitative perioperative/periprocedural management of neuromuscular block.
Prof. Dr. Béla Fülesdi
Prof. Dr. Sorin J. Brull
Guest Editors
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Keywords
- anesthesia
- perioperative complications
- residual neuromuscular block
- postoperative pulmonary complications
- intensive care unit acquired weakness
- intensive care medicine
- airway management
- patient safety
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