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Accelerometric Assessment of neuromuscular block during anaesthesia is routinely performed at the M. adductor pollicis. However, many operations require positioning of the patients with arms attached to the body. In these situations, the anaesthesiologist has no access to the m.adductor pollicis.
In this study, a new position of accelerometry at the neck is evaluated: Stimulation of the n. accessorius with accelerometry of the m. trapezius.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group trapezius | Other | Assessment of intubation conditions after onset of the neuromuscular block at the m. trapezius |
|
| group adductor pollicis | Other | assessment of intubation conditions after onset of the neuromuscular block at the m. adductor pollicis |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| accelerometry m. trapezius and m. adductor pollicis | Device |
|
| Measure | Description | Time Frame |
|---|---|---|
| Recovery to a train of four ratio of 0.9 | Comparison between time to recovery [s] to a train of four ratio of 0.9 between both groups | 60 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| onset of neuromuscular block | Comparison of onset time [s] between both groups. Onset time is defined as decrease of T1 to < 5% of initial twitch height. | 10 min |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| KKH Dormagen | Dormagen | 41540 | Germany |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28818054 | Derived | Soltesz S, Stark C, Noe KG, Anapolski M, Mencke T. Comparison of the trapezius and the adductor pollicis muscle as predictor of good intubating conditions: a randomized controlled trial. BMC Anesthesiol. 2017 Aug 17;17(1):106. doi: 10.1186/s12871-017-0401-8. | |
| 26864194 | Derived | Soltesz S, Stark C, Noe KG, Anapolski M, Mencke T. Monitoring recovery from rocuronium-induced neuromuscular block using acceleromyography at the trapezius versus the adductor pollicis muscle: an observational trial. Can J Anaesth. 2016 Jun;63(6):709-17. doi: 10.1007/s12630-016-0609-y. Epub 2016 Feb 10. |
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