Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Neuromuscular monitoring (TOF) of the selected patients upon their arrival
to the PACU.: Quantitative monitoring using acceleromyography (TOF-Watch®). After skin
preparation, 2 ECG elec
Sponsors
Sir Ganga Ram Hospital
Eligibility
Inclusion criteria
Inclusion criteria: 1. ASA physical classification I to II 2. Patients undergoing lower abdominal surgery, general, urological, or gynaecologic surgery under general anaesthesia with neuromuscular blockade.
Exclusion criteria
Exclusion criteria: 1. Patients not consenting. 2. Patients with known neuromuscular disorders (e.g. myasthenia gravis) 3. Patients undergoing organ transplant surgery, open upper abdominal surgery, emergency procedures, and patients needing intensive care admission in the post-operative period. 4. Patient undergoing thoracic surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patients having neuromuscular blockade TOF ratio less than 0.9.Timepoint: 10 mins after extubation | — |
Secondary
| Measure | Time frame |
|---|---|
| a. Fall of SpO2 less than 95 % on oxygen support. b. Duration of stay in PACU. c. Need of airway support (viz. airway opening manoeuvres, oral or nasal airway, CPAP / BiPAP, endotracheal intubation)Timepoint: 10 mins after extubation | — |
Countries
India
Contacts
Public ContactDr Savitar Malhotra
Institute of Anaesthesiology Pain and Perioperative Medicine
Outcome results
None listed