Where does the use of neuromuscular blockade (NMBA) fit in the scheme of patient-ventilator management?
A. If pain cannot be controlled, NMBA should be administered.
B. If sedation of the patient fails to improve patient-ventilator synchrony, NMBA should be given.
C. When attempting to synchronize the ventilator and patient via making ventilator setting adjustments fails, NMBA needs to be used.
D. After all possible efforts have been employed to no avail, NMBA should be used.
?ANS: D
A. Incorrect response: See explanation D.
B. Incorrect response: See explanation D.
C. Incorrect response: See explanation D.
D. Correct response: Before opting for the use of neuromuscular blockade (NMBA), all other possible modalities should be used. NMBA should only be used as a last resort if the other measures (pain, management, sedation, treatment of delirium) fail to improve the patient's clinical status.
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