Comparison of a novel clinical score to estimate the risk of REsidual neuromuscular block Prediction Score and the last train-of-four count documented in the electronic anaesthesia record: A retrospective cohort study of electronic data on file

European Journal of Anaesthesiology
Maíra I RudolphM Eikermann

Abstract

Residual neuromuscular block (rNMB) after surgery is not difficult to identify if proper neuromuscular monitoring is used, but many clinicians do not use quantitative neuromuscular monitoring. The aim of this study was to develop a REsidual neuromuscular block Prediction Score (REPS) to predict postoperative rNMB and compare the predictive accuracy of the prediction score with train-of-four count (TOFC) measurement at the end of a surgical case. Retrospective cohort study of data on file. Electronic patient data and peri-operative data on vital signs, administered medications, and train-of-four ratio (TOFR) obtained in the postoperative recovery rooms [postanaesthesia care unit (PACU)] at Massachusetts General Hospital in Boston, Massachusetts, USA. Quantitative TOFR measurements obtained on admission to the PACU were available from 2144 adult noncardiac surgical patients. Presence of rNMB at PACU admission, defined as a TOFR of less than 0.9. In the score development cohort (n=2144), rNMB occurred in 432 cases (20.2%). Ten independent predictors for residual paralysis were identified and used for the score development. The final model included: hepatic failure, neurological disease, high-neostigmine dose, metastatic tumour, fe...Continue Reading

Associated Clinical Trials

Jul 13, 2018·Matthias Eikermann

References

Nov 1, 1975·British Journal of Anaesthesia·M E WardL Strunin
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Mar 26, 2009·Acta Anaesthesiologica Scandinavica·M Eikermann, L S Rasmussen
Mar 2, 2010·Journal of Clinical Epidemiology·Kaspar Rufibach
Aug 20, 2010·European Journal of Anaesthesiology·Thomas Fuchs-Buder
Feb 7, 2012·Statistics in Medicine·Xinhua Liu
Apr 11, 2013·Anesthesiology·Britta BrueckmannMatthias Eikermann
Aug 1, 2015·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Sanjay M BhanankerStephan R Thilen
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Nov 20, 2015·Anaesthesia·M R CheckettsUNKNOWN Association of Anaesthetists of Great Britain and Ireland
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Jan 12, 2017·BMJ : British Medical Journal·Fanny P TimmMatthias Eikermann
Mar 14, 2017·Annals of Surgery·Christina H ShinMatthias Eikermann
Oct 5, 2017·British Journal of Anaesthesia·A K Staehr-RyeM Eikermann

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