Key result
Quantitative neuromuscular monitoring provides the most accurate TOF ratio measurement, though clinical adoption remains limited by device cost and difficult clinical setup.
Why the study?
Postoperative residual neuromuscular block remains a surgical problem, yet few clinicians use recommended quantitative monitoring devices due to high costs and difficult clinical set-up.
What are the currently available devices for quantitative neuromuscular monitoring and their missing capabilities?
Systematic Review
What are the currently available devices for quantitative neuromuscular monitoring and their missing capabilities?
This systematic review highlights the available devices for quantitative neuromuscular monitoring and emphasizes the need for their increased clinical use to prevent postoperative residual neuromuscular block.
Implement quantitative neuromuscular monitoring for precise TOF ratios when feasible; confirms accuracy advantage and leaves open solutions to cost and setup barriers.
Postoperative residual neuromuscular block (PRNB) is still a problem during the surgery procedures resulting in health problems, such as, airway obstruction, hypoxia and pulmonary aspiration. To perform more accurate monitoring of the patient during surgery quantitative neuromuscular blockade monitoring measuring TOF ratio has been recommended by med-ical institutions. There are some devices available using different techniques, however there are only a few number of clinicians using them, since those devices are costly and have difficult clinical set-up. This paper presents a systematic review of current devices for quantitative neuromuscular monitoring during the surgery procedure following the PRISMA methodology. This study was carried out to list the currently available devices and report the capabilities that are missing in these devices since 2017. The databases used to do the research were PubMed, Cochrane Library, PubMed Central (PMC), Web of Science, IEEE Xplore, ScienceDirect, Directory of Open Access Journals (DOAJ). 17 ar-ticles were selected, presenting comparisons between two devices using different techniques. Quantitative monitoring provides the most accurate TOF ratio measurement but still needs to be incentivized.
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Torneiro et al. (2023) conducted a systematic review in Postoperative residual neuromuscular block. Quantitative neuromuscular blockade monitoring devices vs. Alternative devices or techniques was evaluated on Accuracy of TOF ratio measurement. Quantitative neuromuscular monitoring provides the most accurate TOF ratio measurement, though clinical adoption remains limited by device cost and difficult clinical setup.
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