TOF Monitoring Using the TetraGraph in Patients Less Than 1 Year of Age

Train-of-four Monitoring Using the Tetragraph Neuromuscular Transmission Monitor and Comparison to Standard (Visual) Train-of-four Assessment With a Peripheral Nerve Stimulator in Patients Less Than 1 Year of Age.

The primary objective of this study is to evaluate the efficacy of train-of-four (TOF) monitoring using the TetraGraph Neuromuscular Transmission Monitor in pediatric patients less than 1 year of age.

Inclusion Criteria:

• ASA 1-4
• ≤ 1 year of age
• undergoing a surgical procedure with general anesthesia and requiring the administration of an NMBA

Exclusion Criteria:

• Patients less than 28 days old
• Patients with history of a peripheral neurologic or neuropathic disorder
• Patients in whom the upper extremity cannot be used for TOF monitoring
• Patients undergoing a surgical procedure in which neuromuscular blockade is not required
• Edematous patients