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 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 PNS to … 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

Airway Atomizers!

DART, DART Reach, and EZ Spray Why pay more for MAD? Up to 40% Savings! DART provides safe, painless intranasal medication delivery• Soft, conical shape applicator for a quality nostril seal• Maximum atomization and ease of use while preventing liquid expulsion• Spray atomizes to a fine mist of 30-100μm in size• Excellent for anesthesia, pediatrics, … Read more

GOOD NEWS Line is Open!

900 w/ stand

Bell Medical has received a purchase order for 7 WellAir Novaerus 900 for Gates Ventures (Bill and Melinda Gates Foundation). The Novaerus system is the only system that destroys airborne viruses, bacteria, and other pathogens at the DNA level. It uses patented plasma technology to be 99.99% effective. Call us at 314-772-5600 or email [email protected]Read more

New Distal Pharyngeal Airway Contributes to Improved Patient Care and Outcomes: 2 Case Reports

MEA Fig1 01

Joanna Blondeau, CRNA, Staff CRNA, MedStream Anesthesia, Hilton Head Island, S.C. Most airway management for anesthesia providers and airway experts is routine, predictable, uneventful and straightforward. However, when a challenging airway occurs in a clinical situation, it can lead to adverse effects and life-threatening consequences for the patient and anxious moments for the provider. The … Read more

Selecting the right blood/fluid warmer

Selecting the right blood/fluid warmer for your organization is a critical decision. Nowadays, due to multiple recent recalls of aluminum warmers — that according to the FDA’s warning their aluminum leaching levels “may cause serious adverse events including death”– decisionmakers should be fully aware of what’s inside their warmers of choice. The last thing you … Read more

An Evolving New Paradigm in Blood Warming: “A Bridge To Rapid Infusers”

QINFLOW WARRIOR FROM BELL MEDICAL Initially created on JANUARY 15, 2022 BY ARIEL KATZ, CEO QINFLOW Rapid infusers are a great option for treating patients with severe hemorrhage. However, they require significant commitment from the hospitals: they are expensive to purchase, expensive to operate, and expensive to maintain. As importantly, they require significant ongoing investment in training so … Read more