Comparison of Onset of Neuromuscular Blockade With Electromyographic and Acceleromyographic Monitoring

NCT ID: NCT05120999

Last Updated: 2023-08-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-10-25

Study Completion Date

2022-01-14

Brief Summary

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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.

Detailed Description

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Conditions

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Neuromuscular Blockade

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Dominant hand

Application of either TetraGraph or TOFScan device on dominant hand

Train of four measurement

Intervention Type DEVICE

Use of either TetraGraph or TOFScan to measure the neuromuscular blockade

Non-Dominant hand

Application of either TetraGraph or TOFScan device on non-dominant hand

Train of four measurement

Intervention Type DEVICE

Use of either TetraGraph or TOFScan to measure the neuromuscular blockade

Interventions

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Train of four measurement

Use of either TetraGraph or TOFScan to measure the neuromuscular blockade

Intervention Type DEVICE

Eligibility Criteria

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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.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mayo Clinic

OTHER

Sponsor Role lead

Responsible Party

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J. Ross Renew, M.D.

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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J. Ross Renew, MD

Role: PRINCIPAL_INVESTIGATOR

Mayo Clinic

Locations

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Mayo Clinic in Florida

Jacksonville, Florida, United States

Site Status

Countries

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United States

References

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Chaves-Cardona HE, Fouda EA, Hernandez-Torres V, Torp KD, Logvinov II, Heckman MG, Renew JR. Comparison of onset of neuromuscular blockade with electromyographic and acceleromyographic monitoring: a prospective clinical trial. Braz J Anesthesiol. 2023 Jul-Aug;73(4):393-400. doi: 10.1016/j.bjane.2023.04.004. Epub 2023 May 1.

Reference Type DERIVED
PMID: 37137388 (View on PubMed)

Related Links

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Other Identifiers

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21-007425

Identifier Type: -

Identifier Source: org_study_id

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