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Non-depolarizing muscle relaxants (NDMRs) are commonly used in general anesthesia to improve anesthetic and surgical conditions.
Abbreviations MG --Myasthenia gravis TIVA --total intravenous anesthesia NDMR --nondepolarizing muscle relaxants PO --per os IV --intravenous IM --intramuscular MGFA --Myasthenia Gravis Foundation of America VATS --video-assisted thoracoscopy KS --corticosteroids DOI: 10.2298/MPNS1610305S
Succinylcholine, the only depolarizing muscle relaxing agent in clinical use, is well-known for its most rapid onset of action and short duration of action2,8,9 compared to the NDMR dugs.14 It has been the most commonly used drug for the endotracheal intubation in the past.
Pretreatment with a small dose of NDMR is considered to be almost the gold standard in the prevention of succinylcholine-induced muscular adverse effects.
Much argument has been carried out among the researchers about the interval between administration of the NDMR drug for pretreatment and succinylcholine.2,11 Intervals of 2, 3, and 4 minutes or even larger have been recommended12.
Node Disjoint Multipath Routing (NDMR)  is a DSR -based multipath routing protocol that uses node-disjoint paths.
To handle link failures in the data transmission path, after detecting a link failure, most multipath-based routing protocols such as NDMR , AODVM , MP-MAODV , MAODV-SIM , and MSR , transmit a RERR (Route ERRor) packet to notify the source of the failure.
The performance of the proposed protocol is evaluated by simulation using the Qualnet 5.0 simulator , and is compared with the NDMR , MAODV-SIM , and HLAR  protocols in terms of the packet delivery ratio, end-to-end delay, delay jitter, protocol overhead, and the recovery time of link failures.
We compared the performance of the MRFR with the NDMR , MAODV-SIM , and HLAR  protocols in terms of the packet delivery ratio, end-to-end delay and delay jitter, protocol overhead, and recovery time of link failures.
The effect that NDMR Farm Relief Services has had on the rural community and economy is positive and beneficial.
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