Neuromuscular monitoring by intensive care nurses: comparison of acceleromyography and tactile assessment

descriptionPublicationkeyboard_double_arrow_right Article 01 Mar 1998 English Publisher:Elsevier BVJournal:British Journal of Anaesthesia, volume 80, pages 384-385 (issn: 0007-0912,

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Authors: R, Greer; N J, Harper; A J, Pearson;

doi: 10.1093/bja/80.3.384

pmid: 9623442

Neuromuscular monitoring by intensive care nurses: comparison of acceleromyography and tactile assessment

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Abstract

We have compared tactile assessment of the train-of-four (TOF) count and TOF ratio by nursing staff, with measurements made by a new acceleromyographic monitor, the TOF-Watch. We assessed neuromuscular block in 30 sedated intensive care patients receiving a continuous infusion of atracurium. Five nurses made a tactile assessment of neuromuscular block in each patient within a 5-min period. Each assessment was paired with a blinded TOF-Watch measurement. The nurses were accurate in assessing twitch count in 55% of measurements and they tended to overestimate the degree of block using tactile assessment of TOF ratio.

Related Organizations

Manchester Royal Infirmary
United Kingdom

Keywords

Adult, Critical Care, Myography, Neuromuscular Junction, Touch, Atracurium, Neuromuscular Blockade, Humans, Nursing Care, Monitoring, Physiologic, Neuromuscular Nondepolarizing Agents

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