An audit of neuromuscular monitoring and adverse airway outcomes in patients recovering from general anaesthesia.

An audit of neuromuscular monitoring and adverse airway outcomes using the Train of four ratio and count in patients recovering from general anaesthesia.

Status

Completed

Phases

Unknown

Study type

Observational

Source

ANZCTR

Registry ID

ACTRN12617001289303

Enrollment

231

Registered

2017-09-06

Start date

2017-02-13

Completion date

2017-04-07

Last updated

2018-01-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

We aim to determine the incidence of post-operative residual curarisation (PORC) in Peri-anaesthesia care unit (PACU) after general anaesthesia requiring a muscle relaxant. We will also measure the incidence of adverse airway events in PACU and determine if there is an association with PORC. As this was deemed to be a low risk study, patient consent was not required prior to recruitment. Patients were followed up in PACU after transfer from the operating theatre. Once in PACU, a neuromuscular monitor was placed and the train-of-four ratio (TOFR) was measured. This measurement was performed at 1 minute intervals until TOFR reached 0.9. The time then for TOFR to reach 0.9 was measured.

Interventions

Train of four count ratio (TOFR) and count (TOFC) measured on patients who arrive in Recovery Unit after general anaesthesia requiring muscle relaxant. TOFR and TOFC will be measured using the GE Neuromuscular monitor (NMT). TOFR will be performed in patients on arrival in Recovery by a scholarly selective medical student face to face with the patient. The initial TOFR will be measured. If it is less than 90% (0.9) then the TOFR will be measured at 1 minute intervals until the TOFR reaches 90%

Eligibility

Sex/Gender

All

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

Patients undergoing general anaesthesia requiring muscle relaxant and who will be extubated at the end of the surgery

Exclusion criteria

Patients who will not be extubated at the end of the case Patients who do not receive general anaesthesia requiring muscle relaxant

Outcome results