Key result
Implementation of quantitative neuromuscular blockade monitoring and departmental education reduced the rate of inadequate reversal from 31% to 15% and eliminated unplanned PACU reintubations.
Why the study?
Does department-wide implementation of quantitative neuromuscular monitoring reduce residual blockade and unplanned reintubations in postoperative patients?
Does department-wide implementation of quantitative neuromuscular monitoring reduce residual blockade and unplanned reintubations in postoperative patients?
Absolute Event Rate: 15% vs 31%
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Routine use of quantitative neuromuscular monitoring, supported by department policy and education, significantly reduces residual blockade and eliminates related unplanned reintubations.
Dutton et al. (2014) conducted an editorial in Neuromuscular blockade. Quantitative neuromuscular blockade monitoring vs. No routine quantitative monitoring (historical baseline) was evaluated on Inadequate reversal of neuromuscular blockade (TOF ratio <0.9). Implementation of quantitative neuromuscular blockade monitoring and departmental education reduced the rate of inadequate reversal from 31% to 15% and eliminated unplanned PACU reintubations.
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