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Comparison of Neuromuscular Recovery at the Hand and Foot

Neuromuscular Blockade

Gold standard for neuromuscular blockade evaluation is accelerometry in three dimensions at the thumb. There are many times that measurement at the hand can be falsely under-estimated intraoperatively secondary to constriction of the upper extremities. We believe that installing the same accelerometer at the first toe will give us similar readings for both neuromuscular blockade and recovery from rocuronium administration. This study focuses on agreement values between two accelerometers installed on the hand and at on the foot.

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Participation Requirements

  • Sex:

    ALL

  • Eligible Ages:

    18 and up

Participation Criteria

Inclusion Criteria:

* ASA 1-3 patients
* Elective surgery
* Undergoing general anesthesia with rocuronium induced NMB
* BMI \< 36 kg.m-2
* Age \> 18 years old
* French or English speaking patient

Exclusion Criteria:

* Renal or hepatic dysfunction
* Obstructive sleep apnea requiring continuous positive airway pressure (CPAP) machine
* Neuromuscular disease
* Peripheral arterial disease (suspected, known or investigated)
* Calcium channel anomalies
* Hypothermia (\< 35C)
* Hyper/hypomagnasemia
* Allergy to any drug used in the study protocol
* Patient refusal

Study Location

Maisonneuve-Rosemont Hospital - CIUSSS de l'Est de l'Ile de Montréal
Maisonneuve-Rosemont Hospital - CIUSSS de l'Est de l'Ile de Montréal
Montréal, Quebec
Canada

Contact Study Team

Primary Contact

Louis-Philippe Fortier, MD

[email protected]
514-252-3426
Study Sponsored By
Ciusss de L'Est de l'Île de Montréal
Participants Required
More Information
Study ID: NCT06236763