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Improving Surgical Outcomes
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Program Objective
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Strategies for Minimizing Risk of Postoperative Residual NMB
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EMG
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Mechanomyography
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Kinemyography
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AMG
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Benefits of EMG Monitoring
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Case Example: PNS vs AMG
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Assessment at End of Operation
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Visual and Tactile Detection of Fade
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Assessment After 10 Minutes
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Assessment After Reversal Agent Is Administered
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Potential CREs With Residual NMB
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Incidence of CREs
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Administration of Anticholinesterase NMB Reversal Agents
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Consensus Statement on Perioperative Use of Neuromuscular Monitoring
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Benefit of Easy-to-Use Objective Monitors
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Clinical Effect of Objective Monitoring
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Neostigmine
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Dosing of Neostigmine
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Time to NMB Reversal With Neostigmine
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Potential Respiratory Complications With Inappropriate Neostigmine Administration
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Sugammadex
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NMB Reversal With Sugammadex vs Neostigmine
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Dosing of Sugammadex
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Conclusions
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Abbreviations
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