Comparing muscle responses for monitoring neuromuscular function after surgery
Official title: Comparison of Adductor Pollicis and Abductor Digiti Minimi Muscles (Thumb Vs. Fifth Digit) As Sites for Neuromuscular Monitoring with Electromyography
Run by University of Debrecen · NCT06691204 · Data updated 2026-11-12
This study is testing a device to see if it can better monitor muscle function after surgery for patients who have received a specific muscle relaxant.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 46 (estimated) |
| Sponsor | University of Debrecen Academic / other |
| Locations | 2 sites (Debrecen, Hajdú-Bihar and 1 other locations) |
| Status | Recruiting |
| Started | October 18, 2024 |
| Main results expected | May 31, 2026 |
| Study ends | May 31, 2026 |
| Registry record updated | November 15, 2024 |
| Trial ID | NCT06691204 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18 and older undergoing elective surgeries that require neuromuscular blocking agents.
✕Probably not a fit
Patients with neuromuscular disorders, significant organ dysfunction, or those undergoing surgeries that involve prepping the arm into the sterile field may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study evaluates the effectiveness of the TetraGraph device in monitoring two muscle groups, the adductor pollicis and the abductor digiti minimi, to assess neuromuscular blockade and recovery following the use of rocuronium during elective surgeries. It aims to identify differences in muscle sensitivity to neuromuscular blocking agents and reversal agents by measuring electrical activity in these muscles through electromyography. The study addresses challenges in monitoring due to patient positioning and involuntary movements, providing a potentially reliable method for detecting residual neuromuscular blockade in postoperative patients.
Why it matters
Potential benefit: If successful, this study could improve the detection of residual neuromuscular blockade, enhancing patient safety and recovery outcomes after surgery.
How similar studies have gone: While the approach of using electromyography for monitoring neuromuscular function is established, this specific comparison of muscle groups with the TetraGraph device is novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age \> or = 18 years old * Patients willing to participate and provide an informed consent * Patients undergoing elective surgical procedures that require use of NMBA agents (rocuronium) administered intraoperatively. Exclusion Criteria: * Patients with disorders, such as stroke, carpal tunnel syndrome, broken wrist with nerve damage, Dupuytren contracture, or any similar wrist injury. * Patients with systemic neuromuscular diseases such as myasthenia gravis. * Patients with significant organ dysfunction that can significantly affect pharmacokinetics of neuromuscular blocking and reversal agents, i.e., severe renal impairment or end-stage liver disease. * Patients having surgery that would involve prepping the arm into the sterile field. * Patients receiving a rapid sequence induction. * Patients allergic to rocuronium or sugammadex.
Where it's running
-
University of Debrecen, Department of Anesthesiology and Intensive Care
Debrecen, Hajdú-Bihar, Hungary Recruiting -
University of Debrecen, Debrecen, Hajdú-Bihar 4008
Debrecen, Hungary Completed
Study contacts
- Study coordinator: György NAGY, MD
- Email: gynagy1986@gmail.com
- Phone: +36304354064
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Low-Dose Rocuronium Maintenance During Spine Surgery With Intraoperative Monitoring
This study tests whether keeping a low, controlled amount of rocuronium during spine surgery helps nerve monitoring while improving the surgical field compared to stopping rocuronium after induction.
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Safer muscle relaxant and reversal choice during anesthesia for people with chronic kidney disease
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.