Feasibility of intraoperative quantitative neuromuscular blockade monitoring in children using electromyography.

ABSTRACT:

Background

Quantitative train-of-four (TOF) monitoring remains essential in optimizing anesthetic outcomes by assessing the depth and recovery from neuromuscular blockade. Despite this, residual neuromuscular blockade, defined as a TOF ratio <0.90, remains a concern in both adult and pediatric patients. Quantitative TOF monitoring has seen limited use in infants and children primarily due to a lack of effective equipment. This study evaluates a new electromyography (EMG)-based TOF monitor in pediatric patients undergoing inpatient surgical procedures including laparoscopic (restricted arm access) surgery.

Methods

Pediatric patients undergoing inpatient surgery requiring the administration of neuromuscular blocking agents (NMBAs) were enrolled. The EMG electrodes were placed

SUBMITTER: Owusu-Bediako K 

PROVIDER: S-EPMC9630696 | biostudies-literature | 2022 Oct-Dec

REPOSITORIES: biostudies-literature