Practice Guidelines for Monitoring Neuromuscular Blockade-Elements to Change to Increase the Quality of Anesthesiological Procedures and How to Improve the Acceleromyographic Method.

Neuromuscular blocking agents are a crucial pharmacological element of general anesthesia. Decades of observations and scientific studies have resulted in the identification of many risks associated with the uncontrolled use of neuromuscular blocking agents during general anesthesia or an incomplete reversal of neuromuscular blockade in the postoperative period. Residual relaxation and acute postoperative respiratory depression are the most serious consequences. Cyclic recommendations have been developed by anesthesiology societies from many European countries as well as from the United States and New Zealand. The newest recommendations from the American Society of Anesthesiologists and the European Society of Anesthesiology were published in 2023. These publications contain very detailed recommendations for monitoring the dosage of skeletal muscle relaxants in the different stages of anesthesia-induction, maintenance and recovery, and the postoperative period. Additionally, there are recommendations for various special situations (for example, rapid sequence induction) and patient populations (for example, those with organ failure, obesity, etc.). The guidelines also refer to pharmacological drugs for reversing the neuromuscular transmission blockade. Despite the development of several editions of recommendations for monitoring neuromuscular blockade, observational and survey data indicate that their practical implementation is very limited. The aim of this review was to present the professional, technical, and technological factors that limit the implementation of these recommendations in order to improve the implementation of the guidelines and increase the quality of anesthesiological procedures and perioperative safety.

Nonlinear recurrence analysis of piezo sensor placement for unmanned aerial vehicle motor failure diagnosis.

This paper is focused on the diagnostics of multicopter UAV propulsion system, in which the temporary transient states occur during operation in faulty conditions (eg. not all motor phases working properly). As a diagnostic sensor, the piezo strip has been used, which is very sensitive to any vibrations of the multi-rotor frame. The paper concerns the precise location of the sensor for more effective monitoring of the propulsion system state. For this purpose, a nonlinear analysis of the vibration times series was carefully presented. The obtained non-linear time series were studied with the recurrence analysis in short time windows, which were sensitive to changes in Unmanned Aerial Vehicle motor speeds. The tests were carried out with different percentage of the pulse width modulation signal used for the operation of the brushless motor and for different locations of the piezosensor (side and top planes of the multicopter arm). In the article, it was shown that the side location of the piezosensor is more sensitive to changes in the Unmanned Aerial Vehicle propulsion system, which was studied with the Principal Component Analysis method applied for four main recurrence quantifications. The research presented proves the possibility of using nonlinear recurrence analysis for propulsion system diagnostics and helps to determine the optimal sensor location for more effective health monitoring of multicopter motor.