Comparison of Adductor Pollicis and Abductor Digiti Minimi Muscles (Thumb Vs. Fifth Digit) As Sites for Neuromuscular Monitoring with Electromyography

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorTamas Vegh, MD

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 volunteers

Qualifiers

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

Design model

Case-only

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

No trial groups listed

Trial outcomes

Primary outcomes

1

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%.

Time frame
depends on the depth of the neuromuscular block, a maximum of about 20 minutes

Secondary outcomes

1

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).

Time frame
one hour after extubation

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Tamas Vegh, MD

Lead sponsor

University of Debrecen

Sponsor institution