To assess the impact of an e-learning course in neuromuscular monitoring on the frequency of application of objective neuromuscular monitoring for assessment of depth of neuromuscular blockade in general anaesthesia and secondarily on the incidence of residual neuromuscular blockade after anesthesia. We will collect data prospectively from 6 Danish anaesthesia departments from the time of intervention, using data from the Anaesthesia Information Management System (AIMS). Baseline data is obtained from another study based on the same data extraction procedure (NCT02914119).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
6,525
An e-learning course designed to assess the challenges and common problems experienced by anesthetists when monitoring the neuromuscular blockade during general anesthesia.
Herlev Hospital
Herlev, Denmark
Application of Objective Neuromuscular Monitoring (Acceleromyography) in Cases Receiving a Depolarizing Neuromuscular Blocking Agent (NMBA) (Succinylcholine) (Yes/no)
Number of Participants Who Received a Depolarizing Neuromuscular Blocking Agent (NMBA) (Succinylcholine) and was Monitored with Objective Neuromuscular Monitoring (Acceleromyography). Data on neuromuscular monitoring is automatically registered in the electronic patient chart when the equipment for acceleromyography is activated.
Time frame: in the period from induction of anaesthesia to termination of anaesthesia, usually 2 hours
Application of Objective Neuromuscular Monitoring (Acceleromyography) in Cases Receiving a Non-depolarizing NMBA (Yes/no)
Number of Participants Who Received a Non-depolarizing Neuromuscular Blocking Agent (NMBA) and was Monitored with Objective Neuromuscular Monitoring (Acceleromyography). Data on neuromuscular monitoring is automatically registered in the electronic patient chart when the equipment for acceleromyography is activated.
Time frame: in the period from induction of anaesthesia to termination of anaesthesia, usually 2 hours
Last Recorded Train-of-four (TOF) Ratio Before Tracheal Extubation or Removal of Supraglottic Airway Device in Patients Receiving a Non-depolarizing NMBA
The Train-of-four (TOF) ratio is the ratio of the fourth to the first muscle response after 4 stimuli at the ulnar nerve at the wrist at 2 Hz. The response is measured using acceleromyography. If the last measurement is performed before return of any muscle function, the ration can not be given.
Time frame: in the period from induction of anaesthesia to termination of anaesthesia, usually 2 hours]
Administration of Sugammadex in Cases Receiving a Non-depolarizing NMBA (Yes/no)
If the total dose of sugammadex in the anaesthesia information management system is \> 0, the outcome is "yes".
Time frame: in the period from induction of anaesthesia to discharge from the post-anaesthesia care unit, usually 5 hours
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Administration of Neostigmine in Cases Receiving a Non-depolarizing NMBA (Yes/no)
If the total dose of neostigmine in the anaesthesia information management system is \> 0, the outcome is "yes".
Time frame: in the period from induction of anaesthesia to discharge from the post-anaesthesia care unit, usually 5 hours
Administration of More Than One Reversal Agent in Cases Receiving a Non-depolarizing NMBA (Yes/no)
If the total dose of neostigmine is bigger than (\>) the first dose administered, the outcome is "yes".
Time frame: in the period from induction of anaesthesia to discharge from the post-anaesthesia care unit, usually 5 hours
Time in Minutes From Tracheal Extubation or Removal of Supraglottic Airway Device to Discharge From Post-anaesthesia Care Unit in Cases Involving a Non-depolarizing NMBA
Time frame: in the period from induction of anaesthesia to discharge from the post-anaesthesia care unit, usually 180 minutes