Pediatric anesthesia & critical care

Neuromuscular Monitoring of Rocuronium 0.6 mg/kg in Children Aged 3–24 Months With Electromyography and Acceleromyography: An Observational Study

Paediatr AnaesthPublished Observational study

Authors' conclusion

Time to TOFR ≥ 0.9 after rocuronium 0.6 mg/kg in children aged 3-24 months was significantly shorter with AMG compared to EMG at both the UN and TN.

Study context

Population
Children aged 3–24 months scheduled for elective surgery under GA with rocuronium 0.6 mg/kg
Participants
107 children
Exposure
Acceleromyography (AMG) vs electromyography (EMG) train-of-four (TOF) monitoring at the tibial nerve (TN) and the ulnar nerve (UN)
  • TNn = 50
  • UNn = 50
Outcome
Time to train-of-four ratio (TOFR) ≥ 0.9

Main finding

As reported in the abstract

Mean difference, min (95% CI)P value
TN, EMG vs TN, AMG
34(29–39)
P < 0.0001
UN, EMG vs UN, AMG
11(6–15)
P < 0.0001

Observational data: associations, not effects.

Safety

Patients with symptoms of residual neuromuscular block
17

Original publication

Neuromuscular Monitoring of Rocuronium 0.6 mg/kg in Children Aged 3–24 Months With Electromyography and Acceleromyography: An Observational Study. Paediatr Anaesth. Published 19 May 2026. doi:10.1002/pan.70220

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