Neuromuscular Blockade Clinical Trial
Official title:
Observational Study Measuring Neuromuscular Block Depth by a TOF or PTC Monitor on the Thumb and on the Upper Arm of the Same Side.
Comparing during anesthesia in the same patient 2 neuromuscular monitors on the same arm.
NMT (neuromuscular transmission) depth can be measured at the same arm with two different
methods during clinical practice.
the first (TOF Watch) measures the musculus adductor pollicis acceleration while the second
method (TOF Cuff Monitor) uses a blood pressure cuff to measure the pressure changes induced
by the upper arm muscles.
During general anesthesia when NMB (neuromuscular block) is required both methods are used.
Every 5 minutes, if clinical required, the NMB is monitored by TOF-PTC. If the measurement of
TOF is zero the monitor continues by measuring PTC ( the system will measure TOF followed by
PTC if TOF is zero) TOF-PTC is recorded and later compared for identity or systematic
difference in one or the other direction.
The measured answer can be TOF 4 (4 answers) with a ratio between answer 1 and 4 expressed
and a percentage, TOF 3 (3 answers), TOF 2, TOF 1, TOF 0 + PTC 20, TOF 0 + PTC 19, up to TOF
0 + PTC 0
;
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