Quantitative neuromuscular reversal
Educational use only. Not clinically reviewed45-year-old woman for Laparoscopic cholecystectomy. About 8 simulated minutes.
What you will practise
- Confirm quantitative neuromuscular monitoring before giving the declared blocking dose.
- Use the measured recovery-phase block depth rather than elapsed time to select reversal.
- Reassess the quantitative response after the accepted reversal.
- Keep hypnosis, ventilation, and oxygenation established while neuromuscular state changes.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- Thilen SR, et al. 2023 ASA Practice Guidelines for Monitoring and Antagonism of Neuromuscular Blockade. Anesthesiology 2023;138:13-41. PMID 36520073.
- McCoy EP, et al. Neuromuscular effects of rocuronium bromide during fentanyl and halothane anaesthesia. Anaesthesia 1993;48:103-5. PMID 8460753.
- Klein et al. Recommendations for standards of monitoring during anaesthesia and recovery 2021. PMID 34013531.
Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.