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001-es BibID:BIBFORM076718
Első szerző:Nemes Réka (aneszteziológus, intenzív terápiás szakorvos)
Cím:Performance Assessment of a New Electromyography-based Neuromuscular Monitor and Subjective Discomfort in Unmedicated Volunteers / Nemes Reka, Dioszeghy Boglarka, Pongracz Adrienn, Tassonyi Edomer, Fulesdi Bela
Dátum:2018
ISSN:2155-6148 2155-6148
Megjegyzések:Objective: The aim of this prospective, unblinded, randomized study was to provide performance data of the prototype of new electromyography-based neuromuscular monitor, the NEAT device (Acacia Designs BV, Amsterdam, the Netherlands) and assess the subjective discomfort associated with neurostimulation in unmedicated healthy volunteers. Methods: The study enrolled ten male and ten female volunteers. Based on a priori randomization the ulnar nerve of the left or right arms was stimulated in 1 Hz single twitch and train-of-four modes. Stimulating current intensity was increased from 10 mA to 60 mA in 10 mA steps. Electromyography recordings were performed at the abductor digiti minimi and adductor pollicis muscles via surface electrodes. The volunteers were asked to rate the discomfort in association with neurostimulation on a 0-10 visual analogue scale. Results: The overall train-of-four ratio was 1.02 (0.98-1.06) {median and (interquartile range)}. The abductor digiti minimi muscle required lower stimulating current intensity to evoke maximal stimulation, than the adductor pollicis (30 vs. 50 mA, p <0.001). The overall intracurrent variability of compound muscle action potential amplitudes was 0.42 (0.21-0.87) mV, that was unaffected by the type of muscle or the stimulating current intensity. Women reported moderately higher visual analogue scale scores than men. The largest recorded difference was 5 (3.75-6) vs. 3 (3-4), p <0.05. Conclusion: The Acacia Designs BV NEAT monitoring device was suitable to deliver neurostimulation, record and analyze the elicited muscle action potentials. The precision of stimulations was acceptable. The volunteers reported the discomfort in association with neurostimulation as tolerable. Registered at the Hungarian Office for Health Authorization and Administrative Procedures (December 30th, 2014). Identifier: 028605-010/2014/OTIG. Registered at clinicaltrials.gov (December 15th, 2015). Identifier: NCT02630576.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Neuromuscular monitoring
Electromyography
Visual analogue scoring scale
Abductor digiti minimi muscle
Adductor pollicis muscle
Megjelenés:Journal of Anesthesia and Clinical Research. - 9 : 8 (2018), p. 1-8. -
További szerzők:Diószeghy Boglárka Pongrácz Adrienn (1971-) (aneszteziológus, intenzív terápiás szakorvos) Tassonyi Edömér (1940-2022) (aneszteziológus) Fülesdi Béla (1961-) (aneszteziológus)
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Intézményi repozitóriumban (DEA) tárolt változat
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2.

001-es BibID:BIBFORM094394
035-os BibID:(cikkazonosító)110234
Első szerző:Renew, J. Ross
Cím:Comparison of the TetraGraph and TOFscan for monitoring recovery from neuromuscular blockade in the Post Anesthesia Care Unit. / Renew J. R., Hernandez-Torres V., Logvinov I., Nemes R., Nagy G., Li Z., Watt L., Murphy G. S.
Dátum:2021
ISSN:0952-8180
Megjegyzések:Study objective: Comparison of the TetraGraph (TG) and TOFscan (TS) for monitoring recovery from neuromuscular blockade in the Post Anesthesia Care Unit (PACU). Design: Randomized, multicenter trial. Setting: PACU in three tertiary care hospitals. Patients: 120 patients (40 per site) receiving neuromuscular blockade during elective surgery. Interventions: Patients were enrolled preoperatively and intraoperative neuromuscular blockade management was at the discretion of the anesthesiologist. Upon arrival to the PACU, patients were randomized to have either TG or TS placed on their dominant hand. The alternate device (TS or TG) was placed on the nondominant hand. Following simultaneous ulnar nerve stimulation on each arm, the response of the adductor pollicis was measured. Measurements: Train-of-four ratios (TOFRs) were obtained upon arrival to the PACU (t = 0), after 5 min (t = + 5) and after +10 min (t = + 10). Main results: There was there was no significant difference in the mean TOFRs obtained with the TG and TS at t = 0 (0.97 ? 0.18 vs 0.94 ? 0.13, P = 0.06, respectively) and t = + 5 (0.96 ? 0.20 vs 0.95 ? 0.12, P = 0.29, respectively). At (t = + 10), there was a statistically significant difference in mean TOFRs obtained with the TG and TS, (0.99 ? 0.14 vs 0.94 ? 0.12, P < 0.001, respectively). The bias between devices at t = 0 was estimated to be 0.03 (95% CI, ?? 0.29 to 0.35, P = 0.26); at t = + 5 min, it was estimated to be 0.02 (95% CI, ?? 0.36 to 0.40, P = 0.54); and at t = +10 min, it was estimated to be 0.05 (95% CI, ?? 0.25 to 0.36, P = 0.77). Conclusions: TS and TG provide interchangeable quantitative measurements once the TOF ratio has returned to a value of 0.90 or greater in the PACU.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:Journal Of Clinical Anesthesia. - 71 (2021), p. 1-6. -
További szerzők:Hernandez-Torres, Vivian Logvinov, Ilana I. Nemes Réka (1985-) (aneszteziológus, intenzív terápiás szakorvos) Nagy György (1986-) (aneszteziológus, intenzív terápiás szakorvos) Li, Zhuo Watt, Liah Murphy, Glenn S.
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Intézményi repozitóriumban (DEA) tárolt változat
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3.

001-es BibID:BIBFORM060681
Első szerző:Tankó Béla (aneszteziológus)
Cím:Occupational Hazards of Halogenated Volatile Anesthetics and their Prevention : review of the Literature / Béla Tankó, Levente Molnár, Béla Fülesdi, Csilla Molnár
Dátum:2014
ISSN:2155-6148
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Volatile anesthetics
Halogenated gases
Megjelenés:Journal of Anesthesia & Clinical Research. - 5 : 7 (2014), p. 1-7. -
További szerzők:Molnár Levente Fülesdi Béla (1961-) (aneszteziológus) Molnár Csilla (1962-) (aneszteziológus)
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Intézményi repozitóriumban (DEA) tárolt változat
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