Anesthetic drugs & techniques

Is quantitative neuromuscular monitoring mandatory after administration of the recommended dose of sugammadex? A prospective observational study

Anaesth Crit Care Pain MedPublished Prospective observational study

Authors' conclusion

When the recommended dose of sugammadex was administered under qualitative NMM, residual NMB at the time of PACU arrival occurred frequently, indicating that quantitative NMM is necessary to ensure adequate recovery.

Study context

Population
Patients undergoing robot-assisted surgery under GA, March–May 2023
Participants
51 patients
Outcome
Incidence of non-normalised train-of-four ratio (TOFR) (nTOFR) <0.9
Follow-up
Upon arrival in PACU

Main finding

As reported in the abstract

nTOFR <0.9 on PACU arrival

Incidence of nTOFR <0.9 on post-anaesthesia care unit (PACU) arrival

5.9%

3/51 patients

Observational data: associations, not effects.

Secondary outcomes

nTOFR <0.7 on PACU arrival · upon arrival in PACU

No patient had a nTOFR <0.7

nTOFR <1.0 on PACU arrival · upon arrival in PACU

Incidence of nTOFR <1.0
47.1% (24 patients)

Clinical symptoms/signs of residual neuromuscular blockade (NMB)

No patients showed clinical symptoms/signs of residual NMB

Original publication

Is quantitative neuromuscular monitoring mandatory after administration of the recommended dose of sugammadex? A prospective observational study. Anaesth Crit Care Pain Med. Published 16 October 2024. doi:10.1016/j.accpm.2024.101445

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.