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Comparison of Onset of Neuromuscular Blockade With Electromyographic and Acceleromyographic Monitoring

Comparison of Onset of Neuromuscular Blockade With Electromyographic and Acceleromyographic Monitoring: A Prospective, Randomized Trial

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT05120999
Enrollment
100
Registered
2021-11-16
Start date
2021-10-25
Completion date
2022-01-14
Last updated
2023-08-08

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

Conditions

Neuromuscular Blockade

Keywords

neuromuscular blockade

Brief summary

The purpose of this research is to use 2 devices to compare the difference in the amount of time it takes for each device to register complete muscle relaxation after the muscle relaxing medication is given. The comparison will be made by using electromyographic (EMG), such as TetraGraph, and acceloromyographic (AMG), such as TOFScan, monitors at the time of insertion of breathing tube.

Interventions

DEVICETrain of four measurement

Use of either TetraGraph or TOFScan to measure the neuromuscular blockade

Sponsors

Mayo Clinic
Lead SponsorOTHER

Study design

Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Patients willing to participate and provide an informed consent. * Patients undergoing elective surgical procedures that require use of NMBA agents (rocuronium) administered intraoperatively.

Exclusion criteria

* Patients with disorders, such as stroke, carpal tunnel syndrome, broken wrist with nerve damage, Dupuytren contracture, or any similar wrist injury. * Patients with systemic neuromuscular diseases such as myasthenia gravis. * Patients with significant organ dysfunction that can significantly affect pharmacokinetics of neuromuscular blocking and reversal agents; i.e., severe renal impairment or end-stage liver disease. * Patients having surgery that would involve prepping the arm into the sterile field. * Patients receiving a rapid sequence induction.

Design outcomes

Primary

MeasureTime frameDescription
Time differenceDuring the initiation of anesthesia periodCompare time difference from neuromuscular blockade agent administration to neuromuscular blockade onset

Secondary

MeasureTime frameDescription
Intubating conditionsDuring the initiation of anesthesia periodAssess intubating conditions once a complete neuromuscular blockade has been achieved either by TetraGraph or TOFScan measurements

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 11, 2026