What are the recommendations for Quantitative Neuromuscular 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

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

Increased PACU Length of Stay – A Costly Matter

Postoperative residual curarization (PORC), also known as residual neuromuscular blockade, refers to the residual muscle paralysis that occurs after emergence from general anesthesia. PORC stems from the use of neuromuscular blocking agents (NMBAs). It is defined as a Train-of-Four (TOF) ratio of <0.9 and may occur in around 41% of patients who receive intermediate-acting neuromuscular … Read more

Stimpod NMS460 by Xavant Receives FDA Approval

PRETORIA, South Africa, Aug. 1, 2017 /PRNewswire/ — Xavant Technology (Pty) Ltd today announced that the U.S. Food and Drug Administration (FDA) cleared their Stimpod NMS460. With the U.S. patent awarded on proprietary hybrid pulsed radio frequency (PRF) waveform, this non-invasive neuromodulation device is focused on the symptomatic relief and management of chronic intractable pain, … Read more