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The Stimpod 450X+ Neuromuscular Monitor: The Future of Quantitative Neuromuscular Monitoring

Stimpod 450X+ Neuromuscular Monitor

In modern anesthesia, precise neuromuscular monitoring is critical for patient safety, cost efficiency, and optimized workflow. The Stimpod 450X+ neuromuscular monitor by Xavant Technology has emerged as the leading choice for quantitative train-of-four (QTOF) monitoring, offering best-in-class electromyography (EMG) and acceleromyography (AMG) capabilities. The Stimpod 450X+ delivers superior functionality, cost savings, and EMR integration—making it … Read more

Quantitative Train-of-Four QTOF Monitoring Accuracy Comparisons

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Introduction Quantitative train-of-four, or QTOF monitoring accuracy is key to managing neuromuscular blockades during anesthesia. Studies show that up to 180 million patients receive neuromuscular blocking agents (NMBAs) annually, with 72 million experiencing post-operative complications due to residual neuromuscular blockade (RNMB) [4]. These complications highlight the need for QTOF monitoring accuracy and reliability to increase … Read more

What are the recommendations for Quantitative Neuromuscular Monitoring?

Quantitative TOF Monitoring

The ASA Guideline recommends Quantitative Train of Four or QTOF monitoring when administering a paralytic.  The ASA Guideline indicates that you should only use Neostigmine when the patient has a TOF ration >40%.  A QTOF monitor is required to know when you are >40% so Quantitative TOF monitoring is needed to continue using Neostigmine as … Read more

Qualitative v Quantitative Monitoring: Is one superior? What’s the difference? Why does it matter?

The Quantitative Train of Four vs Subjective or Qualitative TOF neuromuscular monitoring study attached shows Quantitative TOF monitoring promoting a positive clinical practice change.  Quantitative TOF monitoring may be the greatest tool to use to safely monitor paralytic and reverse anesthesia patients safely.  The study tables show when using a traditional Peripheral Nerve Stimulator or … Read more

Stimpod 450X EMG: The Gold Standard for Quantitative Train-of-Four Monitoring

The linked study was released 10/2/2023 and validates the Xavant Stimpod 450X for neuromuscular blockade monitoring, proven in a recent study to match the gold standard in QTOF accuracy as having the most accurate EMG tested to date.  The study compared the Stimpod 450X EMG or Electromyography to MMG or Mechanomyography.  The results stated:  “The … Read more

2023 ASA Anesthesia Practice Guidelines Summary

2023 ASA Anesthesia Practice Guidelines for Monitoring Neuromuscular Blockade:  December 2022 guideline summary:  Patients monitored quantitatively had less residual neuromuscular blockade compared to patients assessed qualitatively or clinically. For information on quantitative TOF monitors options contact Bell Medical at customerservice@bellmedical.com

Xavant Technology Announces First Dual-Sensor Neuromuscular Patient Monitor

The Stimpod NMS450X NMT monitor for Anesthesia first to feature both AMG and EMG modalities in one single, portable patient monitoring system.   Pretoria, South Africa, October. 15, 2019 – Xavant Technology, a pioneer in neuromuscular monitoring and innovative neuromodulation modalities, announced an addition to the company’s newest generation of Stimpod neuromuscular transmission monitor – the … Read more

Why Quantitative NMT Monitoring is Critical in Surgical Patients and How Best to Do It

Some sort of assessment of neuromuscular transmission (NMT) is necessary in surgical patients by clinicians and anesthetists to get a feel for the depth of anesthesia. This assessment can be done using simple yet subjective clinical parameters or through more advanced and objective monitoring devices. NMT monitoring is required to ascertain that anesthesia is appropriate … Read more

The Cost of Postoperative Respiratory Adverse Events

Respiratory impairment following general anaesthesia can pose a significant problem. Adverse and critical respiratory events (AREs and CREs) have been responsible for increased morbidity and mortality. The main cause of AREs after surgery is related to the use of neuromuscular blockers (NMBAs) during general anaesthesia. The action of NMBAs might not cease completely at the … Read more