Comparative Examination of Ulnar and Median Nerve Electromyography Examinations to Monitor Intraoperative Neuromuscular Function
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 45
- 试验地点
- 1
- 主要终点
- CMAP
研究概览
简要总结
The effect of muscle relaxants need to be followed during surgery and before waking up the patient, the anesthesiologist has to make sure that the effect of muscle relaxants is gone. For this purpose, anesthesiologists use so called objective neurlmuscular monitors. These monitors stimulate the ulnar nerve in the wrist and examine the evoked muscle response. The aim of this study is to examine the usability of another nerve in the wrist, the median nerve.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •ASA I-III physical status
- •elective surgery requiring muscle relaxation
- •both arms are available during surgery in the same position for neuromuscular blockade monitoring
- •signed informed consent form
排除标准
- •neruomuscular disorder in patient history (eg. stroke, myasthenia)
- •innervation problem in either arms (eg. carpal tunnel syndrome)
- •deformity to either arms (eg. Dupyurten contracture, severe arthritis)
- •Severe hepatic or renal insufficiency that affects muscle relaxant pharmacokinetics
- •skin lesions at the site of electrode placement
- •implanted pacemaker jelenléte
- •gravidity
- •muscle relaxant needs to be repeated during surgery
研究组 & 干预措施
Ulnar nerve examination
Ulnar nerves in the dominant and non-dominant hands are examined
干预措施: Electromyography (Diagnostic Test)
Median nerve examination
Median nerves in the dominant and non-dominant hands are are examined
干预措施: Electromyography (Diagnostic Test)
结局指标
主要结局
CMAP
时间窗: Baseline
Comparison of compound muscle action potential amplitudes evoked by median and ulnar nerve stimulation and measured at the thenar
次要结局
- Recovery time(Perioperative)
- Onset time(Baseline)
研究者
Pongrácz Adrienn
Assistant Professor
University of Debrecen