Pediatric anesthesia & critical care
Intraoperative Electromyographic Monitoring in Children Less Than 1 Year of Age
Authors' conclusion
In patients > 28 days and < 1 year of age, our preliminary data suggest that electromyography-based TOF monitoring can be used effectively.
Study context
- Population
- Patients < 1 year of age presenting for elective surgery requiring a non-depolarizing NMBA (rocuronium)36 with complete data
- Participants
- 49 patients
- Outcome
- Feasibility of electromyography-based TOF monitoring (effective monitoring)
Methodological detailsComplete baseline not obtained in 2 patients; 11 did not receive sugammadex or sensor removed before recovery
- Complete baseline not obtained in 2 patients; 11 did not receive sugammadex or sensor removed before recovery
Main finding
As reported in the abstract
Effective monitoring
- Effective monitoring achieved in all patients
- 49
Observational data: associations, not effects.
Further findings
Baseline muscle action potential amplitude · mean baseline
- Baseline amplitude (mV)
- 6.8 ± 2.2
Recovered muscle action potential amplitude · after sugammadex reversal at completion of the case
- Recovered amplitude (mV)
- 4.7 ± 1.5
Baseline TOFR · mean baseline
- Mean baseline TOFR
- 99% ± 16.3%
Recovered TOFR · recovery
- Mean recovered TOFR
- 95% ± 10%
Complete neuromuscular recording (baseline to recovery)
- Complete data obtained
- 36
Original publication
Intraoperative Electromyographic Monitoring in Children Less Than 1 Year of Age. Paediatr Anaesth. Published 27 August 2025. doi:10. 1111/ pan. 70043
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