Provider variability in the intraoperative use of neuromuscular blocking agents: a retrospective multicentre cohort study.

ABSTRACT:

Objective

To assess variability in the intraoperative use of non-depolarising neuromuscular blocking agents (NMBAs) across individual anaesthesia providers, surgeons and hospitals.

Design

Retrospective observational cohort study.

Setting

Two major tertiary referral centres, Boston, Massachusetts, USA.

Participants

265 537 adult participants undergoing non-cardiac surgery between October 2005 and September 2017.

Main outcome measures

We analysed the variances in NMBA use across 958 anaesthesia and 623 surgical providers, across anaesthesia provider types (anaesthesia residents, certified registered nurse anaesthetists, attendings) and across hospitals using multivariable-adjusted mixed effects logistic regression. Intraclass correlations (ICC) were calcul

SUBMITTER: Althoff FC 

PROVIDER: S-EPMC8054197 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature