The primary object of this study is, to investigate the current procedure of neuromuscular monitoring at a tertiary academic university medical center.
Residual neuromuscular block is known to be a significant but frequently overlooked complication after the use of neuromuscular blocking agents. Aim of this prospective, observational study is to detect the incidence and severity of residual paralysis at a tertiary academic german university medical center. Methods: All infantile patients recieving neuromuscular blocking agents are included over a 12 week observational period. At the end of the operation procedure, directly prior to tracheal extubation a train-of-four ratio was assessed quantitatively by an independet observer using the TOF Watch SX monitor. Data related to patient postoperative outcome were collected in the operating theatre, during the way to the postoperative care unit (PACU) and during the stay in the PACU: * incidence of residual paralysis * incidence of aspiration, bronchospasm, laryngospasm, oxygen desaturation, airway obstruction,
Study Type
OBSERVATIONAL
Enrollment
100
At the End of Surgery, shortly before Extubation, the TOF-Ratio is measured by an independent investigator using Acceleromyography.
University Hospital Regensburg
Regensburg, Bavaria, Germany
Residual paralysis
Rate of residual paralysis after extubation of the infantile patients measured by acceleromyography.
Time frame: Directly prior to extubation
Airway obstruction
Clinical assessment of the upper airway
Time frame: 1, 10, 30, 60 minutes after extubation
Oxygen desaturation
Measurement of the oxygen saturation by pulse oxymetry
Time frame: 1, 10, 30, 60 minutes after extubation
Bronchospasm, laryngospasm
Clinical assessment the airway
Time frame: 1, 10, 30, 60 minutes after extubation
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