January 11, 2016AnaesthesiaOpen Access

Universal neuromuscular blockade monitoring – a reply

Q: What is the clinical evidence from this study?

Study design: Letter. Population: Neuromuscular blockade. Intervention: Objective quantitative neuromuscular monitoring (acceleromyography) vs. Subjective assessment.

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Key result

Objective quantitative neuromuscular monitoring using acceleromyography is recommended over subjective assessment to ensure adequate recovery from neuromuscular blockade and reduce residual paralysis.

Why the study?

Does objective quantitative neuromuscular monitoring improve detection of residual paralysis compared to subjective assessment in patients receiving neuromuscular blocking drugs?

Population

Patients receiving neuromuscular blocking drugs

Comparison

Objective quantitative neuromuscular monitoring vs Subjective assessment (visual/tactile)

Design

Editorial

Authors

GRG. RodneyNHS Tayside PRP. K. RajuGraphic Era University DBD. R. BallUniversity of St Andrews

Discussion

Member takes

Implication

Objective quantitative neuromuscular monitoring is recommended over subjective assessment to prevent residual neuromuscular blockade.

Structured PICO

Does objective quantitative neuromuscular monitoring improve detection of residual paralysis compared to subjective assessment in patients receiving neuromuscular blocking drugs?

Population

Patients receiving neuromuscular blocking drugs

Intervention

Objective quantitative neuromuscular monitoring (e.g., acceleromyography)

Comparator

Subjective assessment (visual/tactile)

Outcome

Detection of postoperative residual paralysis and recovery of pulmonary and upper airway function

Objective quantitative neuromuscular monitoring is recommended over subjective assessment to prevent residual neuromuscular blockade.

Limitations

Existing monitors are not perfect, requiring familiarisation and set-up time, and are prone to interference.
Existing monitors require familiarisation and set-up time
Monitors are prone to interference

Cite This Study

Rodney et al. (2016) conducted a letter in Neuromuscular blockade. Objective quantitative neuromuscular monitoring (acceleromyography) vs. Subjective assessment was evaluated. Objective quantitative neuromuscular monitoring using acceleromyography is recommended over subjective assessment to ensure adequate recovery from neuromuscular blockade and reduce residual paralysis.

synapsesocial.com/papers/6a901b302e3cec13db33c8cc https://doi.org/10.1111/anae.13374

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Universal neuromuscular blockade monitoring – a reply

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Universal neuromuscular blockade monitoring – a reply

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Also Consider

Also Consider