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September 22, 2005Anesthesia & Analgesia

Assessment of Neuromuscular Blockade Using Acceleromyography Should Be Performed Before Emergence from Anesthesia

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Why the study?

Does assessing neuromuscular blockade using acceleromyography before emergence from anesthesia reduce measurement variability?

Population

20 patients under general anesthesia (propofol, sufentanil, rocuronium, and sevoflurane)

Design

Editorial

Authors

PDPhilippe DuboisCHU Dinant Godinne UCL NamurMGMaximilien GourdinUniversity of NamurJJJacques JamartOslo University Hospital

Discussion

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Implication

Acceleromyography to assess neuromuscular blockade should be performed before emergence from anesthesia to ensure less variable measurements and complete recovery.

Structured PICO

Does assessing neuromuscular blockade using acceleromyography before emergence from anesthesia reduce measurement variability?

P
Population
20 patients under general anesthesia (propofol, sufentanil, rocuronium, and sevoflurane)
I
Intervention
Acceleromyography (TOF-Watch SX) to stimulate the ulnar nerve and record evoked thumb responses before emergence from anesthesia
O
Outcome
Train-of-four ratio variability (bias, precision, and limits of agreement)surrogate

Acceleromyography to assess neuromuscular blockade should be performed before emergence from anesthesia to ensure less variable measurements and complete recovery.

Cite This Study

Dubois et al. (2005) studied this question.

synapsesocial.com/papers/6a901b332e3cec13db33c8d4https://doi.org/10.1213/01.ane.0000173760.72762.f2
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Nellcor N‐101 pulse oximeter1986 · 32 citations
  2. 2The TOF‐Guard neuromuscular transmission monitor1995 · 65 citations
  3. 3Assessing Residual Neuromuscular Blockade Using Acceleromyography Can Be Deceptive in Postoperative Awake Patients2004 · 60 citations
  4. 4Measurement in Medicine: The Analysis of Method Comparison Studies1983 · 4,387 citations