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Mindray 3-directional NMT Module (a new generation "Tri-axial" neuromuscular monitor) versus the Relaxometer mechanomyograph and versus the TOF-Watch SX acceleromyograph 期刊论文

编号：

3376516b-2641-4842-8dea-30f01be302f8
作者：

Dahaba, Ashraf A.#*^[1]Suljevic, Ismet#^[2]Xiao, Zhao Yang^[3];Wang, Kun(王鲲)^[4]
语种：

英文
期刊：

JOURNAL OF CLINICAL MONITORING AND COMPUTING ISSN：1387-1307 2019 年 33 卷 5 期 (853 - 862) ; OCT
收录：
关键词：

Neuromuscular block Monitoring Neuromuscular function Equipment Mechanomyograph Diagnostic accuracy
摘要：

Recently introduced Mindray "3-directional" neuromuscular transmission transducer (NMT, Shenzhen, China) acceleromyograph) claim to monitor thumb movement in 3 different directions. We compared NMT with the gold standard Relaxometer (R) mechanomyograph (MMG, Groningen University, Netherlands) in Study-1 and with TOF-Watch SX (TM) (WTCH) acceleromyograph from which it was developed in Study-2. We used first twitch (T-1%) and train-of-four (TOF) ratio rocuronium 0.6 mg kg(-1) neuromuscular block to evaluate NMT diagnostic accuracy in indicating 3 clinically relevant time points namely; MMG T-1 5% (95% twitch depression) for tracheal intubation, MMG T-1 25% for repeat neuromuscular blocking agents (NMBAs) administration, and MMG 0.9 TOF ratio full neuromuscular block recovery. We compared onset time (time from beginning of rocuronium administration until maximal depression), Dur(25) (time until T-1 25% recovery) and Dur(0.9) (time until 0.9 TOF ratio recovery). In Study-1, NMT showed low sensitivity in indicating MMG time for tracheal intubation, repeat NMBAs administration and full neuromuscular block recovery (6.25%, 38.9% and 38.9% respectively). NMT onset time, Dur(25) and Dur(0.9) (2:51 +/- 00:57, 36:50 +/- 24:25, 70:08 +/- 25:27 min:s) were significantly longer than MMG (1:56 +/- 00:46, 30:26 +/- 20:24, 62:03 +/- 20:01). In Study-2, NMT onset time, Dur(25) and Dur(0.9) (02:37 +/- 00:53, 35:38 +/- 11:54, 53:40 +/- 13:49) were not significantly different than WTCH (02:23 +/- 00:45, 33:27 +/- 12:51, 53:57 +/- 12:47). NMT could not efficaciously detect MMG time for tracheal intubation; NMBAs repeat dose administration or full neuromuscular block recovery. Data from NMT cannot be used interchangeably with MMG. Our study revealed that NMT Tri-axial acceleromyography seems to offer no advantage over the MMG gold standard or the classic Mono-axial TOF-Watch SX monitor.
推荐引用方式
GB/T 7714：

Dahaba Ashraf A.,Suljevic Ismet,Xiao Zhao Yang, et al. Mindray 3-directional NMT Module (a new generation "Tri-axial" neuromuscular monitor) versus the Relaxometer mechanomyograph and versus the TOF-Watch SX acceleromyograph [J].JOURNAL OF CLINICAL MONITORING AND COMPUTING,2019,33(5):853-862.
APA：

Dahaba Ashraf A.,Suljevic Ismet,Xiao Zhao Yang,Wang Kun.(2019).Mindray 3-directional NMT Module (a new generation "Tri-axial" neuromuscular monitor) versus the Relaxometer mechanomyograph and versus the TOF-Watch SX acceleromyograph .JOURNAL OF CLINICAL MONITORING AND COMPUTING,33(5):853-862.
MLA：

Dahaba Ashraf A., et al. "Mindray 3-directional NMT Module (a new generation "Tri-axial" neuromuscular monitor) versus the Relaxometer mechanomyograph and versus the TOF-Watch SX acceleromyograph" .JOURNAL OF CLINICAL MONITORING AND COMPUTING 33,5(2019):853-862.
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