Electrical burns caused by a train-of-four monitor

doi:N/A

eISSN: None / ISSN: None

Netharland Journal of Critical Care

2015, Volume 22, Issue 4 : 21-22

Article

Electrical burns caused by a train-of-four monitor

Koekkoek W.A.C.

Tjan D.H.T.

Abstract

A 56-year-old Caucasian female was admitted to our ICU because of acute respiratory failure due to severe pneumococcal pneumonia. She was intubated and mechanically ventilated. Due to progressive respiratory deterioration culminating in arterial hypoxaemia and hypercapnia, the patient was turned into the prone position to improve oxygenation. The patient was sedated to a Richmond agitation and sedation score of -4. Neuromuscular blocking agents (NMBAs) were started within two hours of the diagnosis of acute respiratory distress syndrome (ARDS), as this treatment may improve mortality and decrease the duration of mechanical ventilation and complications related to barotraumas in ARDS patients when started early and continued for 48 hours. © 2015, Netherlands Society of Intensive Care. All rights reserved.

Keywords

Burn

TOF

Train-of-four

License

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