About this trial
This study aims to evaluate the performance of the TetraGraph on two muscle groups: the adductor pollicis and the abductor digiti minimi. Theese muscles are located on the arms. Key time points for assessment will include the onset of neuromuscular blockade and the recovery from rocuronium blockade using sugammadex.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age > or = 18 years old
Patients willing to participate and provide an informed consent
Patients undergoing elective surgical procedures that require use of NMBA agents (rocuronium) administered intraoperatively.
Disqualifiers
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.
Trial population
Patients who receive a muscle relaxant (rocuronium bromide) for their operation to aid intubation and surgical exploration.
Trial design
Case-only
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
The rate of recovery following sugammadex administration as recorded simultaneously from the hand (adductor pollicis) and fifth digit (abductor digiti minimi) muscles
the time in seconds between the administration of the suggamedex and TOF 100%.
Secondary outcomes
The incidence of postoperative residual weakness
The secondary endpoint is the incidence of postoperative residual weakness at the time of extubation at a center that predominately utilizes quantitative monitoring (defined as TOFR \<0.90).
Sponsors and contacts
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Tamas Vegh, MD
Lead sponsor
University of Debrecen
Sponsor institution