کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2741880 1148566 2016 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Comparison of the TOF-Scan™ acceleromyograph to TOF-Watch SX™: Influence of calibration
ترجمه فارسی عنوان
مقایسه شتاب دهنده سنج TOEF-Scan ™ برای TOF-Watch SX ™: تاثیر کالیبراسیون
کلمات کلیدی
شتاب دهنده سنج؛ عامل عصبی عضلانی؛ کالیبراسیون؛ توافق
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیهوشی و پزشکی درد
چکیده انگلیسی

IntroductionQuantitative neuromuscular monitoring is now widely recommended during anesthesia using neuromuscular blocking agents to prevent postoperative residual paralysis and its related complications. We compared the TOF-Watch SX™ accelerometer requiring initial calibration to the TOF-Scan™, a new accelerometer with a preset stimulation intensity of 50 mA not necessitating calibration.Study designThis pilot, prospective, observational study included adults undergoing general anesthesia with endotracheal intubation and muscle relaxation, having both arms free during surgery. Accelerometers were set up randomly on each arm. Anesthesia was started with remifentanil and propofol before an intubation dose of atracurium or rocuronium. Train of four stimulation was performed every 15 s. Differences between measures were tested using Student's t-test and agreement assessed by Bland and Altman analysis.ResultsThirty-two patients were included. During onset, a mean bias of −26 seconds with a limit of agreement from −172 to +119 seconds was observed between TOF-Watch SX™ and TOF-Scan™ to obtain 0 response to TOF. During recovery, TOF-Scan™ showed a significantly later recovery from 1 response to T4/T1 > 10%, but a bias of 0 minute and limits of agreement from −4 to +4 minutes for T4/T1 > 90% (NS).ConclusionThese results suggest a poor agreement between the calibrated TOF-Watch SX™ and the fix intensity TOF-Scan™ for onset and early recovery of relaxation (i.e. deep neuromuscular blockade) but a good agreement for recovery to TOF 90%. Data are not interchangeable between the devices, but both can be useful to detect residual paralysis.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Anaesthesia Critical Care & Pain Medicine - Volume 35, Issue 3, June 2016, Pages 223–227
نویسندگان
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