A retrospective observational study of neuromuscular monitoring practice in 30,430 cases from six Danish hospitals
Anaesthesia May 20, 2020
Thomsen JLD, Staehr‐Rye AK, Mathiesen O, et al. - Given that residual neuromuscular blockade can be averted via timely application of objective neuromuscular monitoring, researchers evaluated the frequency of objective neuromuscular monitoring with acceleromyography as well as the last recorded train‐of‐four ratio in a cohort comprising Danish patients. From all patients who were administered general anaesthesia from November 2014 to November 2016 at 6 hospitals in the Zealand Region of Denmark, experts collected data. In all operating rooms, acceleromyography was available. Acceleromyography applied in patients taking neuromuscular blocking agents, categorized into non‐depolarising agents and succinylcholine only, was the primary outcome measure. Findings revealed that the cases wherein non‐depolarising neuromuscular blocking drugs were used were almost always monitored using acceleromyography, however, a train‐of‐four ratio of 0.9 was not always attained. The application of monitoring was reported in less than 30% of cases where succinylcholine was the sole drug used.
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