I was recently taking care of a younger adult patient who has been intubated for about 3 weeks. The patient is maxed out on a paralytic, maxed on propofol, has an additional anesthetic, and an opioid drip. The response to Train of Four is four twitches, when oral suctioning (not deep) is done, the pts eyebrows wiggle. Pt also wiggles eyebrows in response to discussions of traveling out of the country.
I asked the doctor if the patient could be developing a resistance or tolerance to the current meds, specifically the paralytic. The doctor told me, 'nobody develops a tolerance to a neuromuscular blocker'.
Really? Can anyone confirm or refute this? I have Googled the subject and seen a few articles, but I am more interested in actual nurse experiences.
thevez17
24 Posts
omg that cardiac sx patient. Anyway, this is why you have to learn how to be an anesthesiologist haha
do you guys have protocols with a nimbex drip?