Memory of intraoperative events

BMJ 1995; 310 doi: https://doi.org/10.1136/bmj.310.6979.601a (Published 04 March 1995) Cite this as: BMJ 1995;310:601
  1. Michael Wang,
  2. Ian F Russell
  1. Clinical director Clinical Psychology Unit, University of Hull, Hull HU6 7RX
  2. Consultant anaesthetist Department of Anaesthesia, Hull Royal Infirmary, Hull HU3 2JZ

    EDITOR,—We were disappointed to read in J G Jones's editorial on memory of intraoperative events that Jones believes that the isolated forearm technique is “unsuitable for prolonged monitoring because of the risk of ischaemia in the isolated arm.”1 We have described how prolonged monitoring is easily achieved simply by releasing the forearm cuff after 20 minutes and then reinflating it some minutes later if further muscle relaxation is required.2 3 This cycle of isolation of the forearm and release can then be maintained indefinitely. Using “train of four” nerve stimulation in more than 100 cases, we …

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