COMMUNITY MEMORIAL HOSPITAL OF VENTURA
Paralysis Initiate Neuromuscular Blocker (NMB) if shivering occurs with adequate sedation: Train-of-four (TOF) every hour and maintain Neuromuscular Blocker (NMB) drip between 1-2 out of 4 twitches Cisatracurium (Nimbex) IV Drip 0.15 mg/kg loading dose followed by a continuous infusion of 1- 3 mcg/kg/min titrate to 1-2 out of 4 twitches on TOF ... ................
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